Healthcare Provider Details

I. General information

NPI: 1376523019
Provider Name (Legal Business Name): ANDREA L ASPRINIO RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

299 PROMENADE ST
PROVIDENCE RI
02908-5720
US

IV. Provider business mailing address

49 HOPE RD
CRANSTON RI
02921-2739
US

V. Phone/Fax

Practice location:
  • Phone: 401-459-6028
  • Fax:
Mailing address:
  • Phone: 401-440-5106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License NumberRN31355
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: