=====================================================
General NPI Number Information
=====================================================
NPI Number | 1417883448
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DONNA PAINE MANSOLILLO RN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/18/2026
-----------------------------------------------------
Last Update Date | 06/18/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 455A SWITCH RD
-----------------------------------------------------
City | WOOD RIVER JUNCTION
-----------------------------------------------------
State | RI
-----------------------------------------------------
Zip | 02894-1330
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 401-364-1160
-----------------------------------------------------
Fax | 401-415-6076
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1 PIERCE RD
-----------------------------------------------------
City | FOSTER
-----------------------------------------------------
State | RI
-----------------------------------------------------
Zip | 02825-1517
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 401-364-7575
-----------------------------------------------------
Fax | 401-415-6076
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WS0200X
-----------------------------------------------------
Taxonomy Name | School Registered Nurse
-----------------------------------------------------
License Number | RN26157
-----------------------------------------------------
License Number State | RI
-----------------------------------------------------