Healthcare Provider Details

I. General information

NPI: 1831520824
Provider Name (Legal Business Name): AMELIA A PIRES NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMELIA ROSSELLI

II. Dates (important events)

Enumeration Date: 12/02/2013
Last Update Date: 10/30/2024
Certification Date: 10/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 EDDIE DOWLING HWY
NORTH SMITHFIELD RI
02896-8214
US

IV. Provider business mailing address

120 EDDIE DOWLING HWY
NORTH SMITHFIELD RI
02896-8214
US

V. Phone/Fax

Practice location:
  • Phone: 401-762-3172
  • Fax:
Mailing address:
  • Phone: 774-766-0399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNPP37932
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN283497
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code363LX0106X
TaxonomyOccupational Health Nurse Practitioner
License NumberRN283497
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: