Healthcare Provider Details

I. General information

NPI: 1811775687
Provider Name (Legal Business Name): MEGHAN E MINUTO FNP - BC, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MEGHAN E METZLER

II. Dates (important events)

Enumeration Date: 09/21/2023
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 TOLL GATE RD
WARWICK RI
02886-2759
US

IV. Provider business mailing address

34 TERRACE DR
EAST GREENWICH RI
02818-2527
US

V. Phone/Fax

Practice location:
  • Phone: 401-737-7010
  • Fax: 401-736-4546
Mailing address:
  • Phone: 401-585-0402
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number56935
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: