Healthcare Provider Details

I. General information

NPI: 1053419481
Provider Name (Legal Business Name): LORIE RESENDES TRAINOR NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LORIE A. RESENDES NP

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 BALD HILL RD STE 530
WARWICK RI
02886-6111
US

IV. Provider business mailing address

400 BALD HILL RD STE 530
WARWICK RI
02886-6111
US

V. Phone/Fax

Practice location:
  • Phone: 401-785-0040
  • Fax:
Mailing address:
  • Phone: 401-349-3131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number241243
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN00765
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: