Healthcare Provider Details

I. General information

NPI: 1982939229
Provider Name (Legal Business Name): EVELYN PINTO DE DURAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2009
Last Update Date: 06/29/2023
Certification Date: 06/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

422 POST RD
WARWICK RI
02888-1548
US

IV. Provider business mailing address

422 POST RD
WARWICK RI
02888-1548
US

V. Phone/Fax

Practice location:
  • Phone: 401-537-7849
  • Fax: 401-537-7815
Mailing address:
  • Phone: 401-537-7849
  • Fax: 401-537-7815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberHNC02414
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN44338
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: