Healthcare Provider Details

I. General information

NPI: 1437116753
Provider Name (Legal Business Name): MARIA R. BIANCHI N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2006
Last Update Date: 12/06/2021
Certification Date: 12/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HIGH SERVICE AVE
NORTH PROVIDENCE RI
02904-5113
US

IV. Provider business mailing address

114 WOODLAND ST ST. FRANCIS HOSPITAL MEDICAL CENTER
HARTFORD CT
06105
US

V. Phone/Fax

Practice location:
  • Phone: 401-456-3402
  • Fax:
Mailing address:
  • Phone: 860-849-3941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNPP37340
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number001579
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: