Healthcare Provider Details

I. General information

NPI: 1215286984
Provider Name (Legal Business Name): EMILY ALVES NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY DINIZ NP

II. Dates (important events)

Enumeration Date: 09/10/2012
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1085 N MAIN ST
PROVIDENCE RI
02904-5719
US

IV. Provider business mailing address

1085 N MAIN ST
PROVIDENCE RI
02904-5719
US

V. Phone/Fax

Practice location:
  • Phone: 844-671-4673
  • Fax: 401-792-3280
Mailing address:
  • Phone: 844-671-4673
  • Fax: 401-792-3280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN2320925
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: