Healthcare Provider Details

I. General information

NPI: 1730223744
Provider Name (Legal Business Name): NANCY SALIBI REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 SUNDERLAND HTS
TIVERTON RI
02878-4228
US

IV. Provider business mailing address

27 SUNDERLAND HEIGHTS
TIVERTON RI
02878
US

V. Phone/Fax

Practice location:
  • Phone: 401-624-9144
  • Fax:
Mailing address:
  • Phone: 401-624-9144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number147564
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: