Basic Information
Provider Information
NPI: 1811485345
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GIORGI
FirstName: DANIELLE
MiddleName: ANNE
NamePrefix: MS.
NameSuffix:  
Credential: APRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 70 LONG CT
Address2:  
City: CRANSTON
State: RI
PostalCode: 029203430
CountryCode: US
TelephoneNumber: 4017491163
FaxNumber:  
Practice Location
Address1: 3461 S COUNTY TRL
Address2:  
City: EAST GREENWICH
State: RI
PostalCode: 028181465
CountryCode: US
TelephoneNumber: 4014716740
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/30/2018
LastUpdateDate: 04/30/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XAPRN01787RIY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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