Healthcare Provider Details

I. General information

NPI: 1255387189
Provider Name (Legal Business Name): JANET TROTTA PARDY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 09/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

593 EDDY STREET MPH 131 RHODE ISLAND HOSPITAL
PROVIDENCE RI
02903
US

IV. Provider business mailing address

593 EDDY STREET MPH 131 RHODE ISLAND HOSPITAL
PROVIDENCE RI
02903
US

V. Phone/Fax

Practice location:
  • Phone: 401-444-3421
  • Fax: 401-444-6378
Mailing address:
  • Phone: 401-444-3421
  • Fax: 401-444-6378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number37220
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: