Healthcare Provider Details

I. General information

NPI: 1548652233
Provider Name (Legal Business Name): STEPHANIE CURTIS NNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEPHANIE QUIRKE NNP

II. Dates (important events)

Enumeration Date: 03/04/2015
Last Update Date: 03/08/2022
Certification Date: 03/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 DUDLEY ST
PROVIDENCE RI
02905-2401
US

IV. Provider business mailing address

101 DUDLEY ST
PROVIDENCE RI
02905-2401
US

V. Phone/Fax

Practice location:
  • Phone: 401-274-1122
  • Fax: 401-276-7865
Mailing address:
  • Phone: 401-274-1122
  • Fax: 401-276-7865

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberAPRN00608
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License Number259973
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: