Healthcare Provider Details

I. General information

NPI: 1659388544
Provider Name (Legal Business Name): JANE FREITAS RNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 11/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 JOHN CUMMINGS WAY SUITE 310
WOONSOCKET RI
02895
US

IV. Provider business mailing address

115 CASS AVE
WOONSOCKET RI
02895-4705
US

V. Phone/Fax

Practice location:
  • Phone: 401-766-6066
  • Fax: 401-766-6672
Mailing address:
  • Phone: 512-730-3060
  • Fax: 888-730-1925

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN34244
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNPP37192
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: