Healthcare Provider Details

I. General information

NPI: 1295746998
Provider Name (Legal Business Name): DOLORES I NORTON BRAICA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 WATERMAN AVE EAST PROVIDENCE SENIOR CENTER
EAST PROVIDENCE RI
02914
US

IV. Provider business mailing address

108 HOWLAND AVE
EAST PROVIDENCE RI
02914
US

V. Phone/Fax

Practice location:
  • Phone: 401-435-2106
  • Fax: 401-435-2133
Mailing address:
  • Phone: 401-435-2106
  • Fax: 401-435-2133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN17034
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License NumberRN17034
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: