Healthcare Provider Details

I. General information

NPI: 1467430512
Provider Name (Legal Business Name): ROBERT S HAMEL APRN, PCNS, RN, BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2006
Last Update Date: 07/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 CENTERVILLE RD SUITE 101 WEST
WARWICK RI
02886-0201
US

IV. Provider business mailing address

300 CENTERVILLE RD SUITE 101 WEST
WARWICK RI
02886-0201
US

V. Phone/Fax

Practice location:
  • Phone: 401-732-4500
  • Fax: 401-732-7766
Mailing address:
  • Phone: 401-253-9993
  • Fax: 401-455-6222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberPPNS00070
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License NumberAPRN00041
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: