Healthcare Provider Details

I. General information

NPI: 1083585251
Provider Name (Legal Business Name): CLAUDIA HANLEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2025
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1329 JEFFERSON BLVD
WARWICK RI
02886-2532
US

IV. Provider business mailing address

1329 JEFFERSON BLVD
WARWICK RI
02886-2532
US

V. Phone/Fax

Practice location:
  • Phone: 401-477-9446
  • Fax: 401-227-8116
Mailing address:
  • Phone: 401-407-5664
  • Fax: 401-227-8116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN277419
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN52655
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: