Nicole Frances Asante, MD, MS

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Providence, RI

NPI 1295574465 · NPPES record last updated May 20, 2024

Key facts

NPI
1295574465
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
License
LP06350 (RI)
Practice address
593 Eddy St
Providence, RI 02903-4923
Phone
(401) 793-2695
Fax
(401) 444-4165
NPI assigned
May 20, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240529001774 RI Order and Referring Only - Pediatric Medicine
Practitioner - Pediatric Medicine
2961844493

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine, Master of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X LP06350 RI Yes

Addresses

Primary practice location

593 Eddy St
Providence, RI 02903-4923

Mailing address

593 Eddy St
Providence, RI 02903-4923
Phone (401) 793-2695

Other providers in Providence, RI

All providers in Providence, RI · Student in an Organized Health Care Education/Training Program in Rhode Island

Sources for this page

Verify at the official NPI Registry.