=====================================================
General NPI Number Information
=====================================================
NPI Number | 1831520824
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | AMELIA A PIRES NP-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/02/2013
-----------------------------------------------------
Last Update Date | 10/30/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 120 EDDIE DOWLING HWY
-----------------------------------------------------
City | NORTH SMITHFIELD
-----------------------------------------------------
State | RI
-----------------------------------------------------
Zip | 02896-8214
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 401-762-3172
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 120 EDDIE DOWLING HWY
-----------------------------------------------------
City | NORTH SMITHFIELD
-----------------------------------------------------
State | RI
-----------------------------------------------------
Zip | 02896-8214
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 774-766-0399
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LX0106X
-----------------------------------------------------
Taxonomy Name | Occupational Health Nurse Practitioner
-----------------------------------------------------
License Number | RN283497
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | NPP37932
-----------------------------------------------------
License Number State | RI
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | RN283497
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------