MEDICARE: ANNE E. NEUVILLE RNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	NPP28847	RI
2	363LF0000X	Family Nurse Practitioner	APRN00518	RI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	20897-2	OTHER	RI	RI BC/BS
3	405891	OTHER	RI	RI BLUE CHIP

General Provider Information

NPI Number	:	1588661722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE E. NEUVILLE RNP

Provider Business Mailing Address
First Line	:	1800 MAIN RD
Second Line	:
City	:	TIVERTON
State	:	RI
Zip	:	02878-4625
Country	:	US
Telephone Number	:	401-624-1400
Fax Number	:	401-625-5271

Provider Business Practice Location Address
First Line	:	1800 MAIN RD
Second Line	:
City	:	TIVERTON
State	:	RI
Zip	:	02878-4625
Country	:	US
Telephone Number	:	401-624-1400
Fax Number	:	401-625-5271

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	11/23/2019

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