Healthcare Provider Details

I. General information

NPI: 1831032739
Provider Name (Legal Business Name): BERNELYS MOREL BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 ELMWOOD AVE
PROVIDENCE RI
02907-1701
US

IV. Provider business mailing address

404 POTTERS AVE
PROVIDENCE RI
02907-1622
US

V. Phone/Fax

Practice location:
  • Phone: 401-386-4343
  • Fax: 401-386-4355
Mailing address:
  • Phone: 401-290-7834
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number67466
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: