Healthcare Provider Details

I. General information

NPI: 1326964008
Provider Name (Legal Business Name): ANNA LOACES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANNA DICHENKO

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 BACON ST
PAWTUCKET RI
02860-5542
US

IV. Provider business mailing address

48 BELLE AIR DR
NORTH KINGSTOWN RI
02852-2004
US

V. Phone/Fax

Practice location:
  • Phone: 401-722-3560
  • Fax:
Mailing address:
  • Phone: 401-499-5257
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN37304
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: