Agustina Amaya
Individual provider Active NPI Registered Nurse · Providence, RI
NPI 1467934729 · NPPES record last updated Sep 4, 2018
Key facts
- NPI
- 1467934729
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN61276 (RI)
- Practice address
- 360 Duncan Dr
Providence, RI 02906-7003 - Phone
- (401) 383-5150
- NPI assigned
- Sep 4, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN61276 | RI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN61276 | RI | Yes |
Addresses
Primary practice location
360 Duncan Dr
Providence, RI 02906-7003
Mailing address
4 Spencer St
Pawtucket, RI 02860-3832
Phone (401) 450-8456
Other providers in Providence, RI
- Kerri Rene Amaral
- Natasha Amaral
- Rebecca Amaral
- Tanisha Sousa Amaral
- Franni Amaro
- Lauren Marie Ameden
- Jonathan Ameli
- Afshin Ameri
- American Center for Bioregulatory Medicine and Dentistry
- American Current Care PA
All providers in Providence, RI · Registered Nurse in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.