Healthcare Provider Details

I. General information

NPI: 1669222956
Provider Name (Legal Business Name): KATHRYN JULIETTE CARDARELLI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2024
Last Update Date: 03/27/2024
Certification Date: 03/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1454 S COUNTY TRL STE 2200
EAST GREENWICH RI
02818-1749
US

IV. Provider business mailing address

26 FALCON RIDGE DR
EXETER RI
02822-2406
US

V. Phone/Fax

Practice location:
  • Phone: 401-606-2043
  • Fax: 401-606-2041
Mailing address:
  • Phone: 508-558-2112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License NumberRN40390
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: