Nicole H Anthony, RN

Individual provider Active NPI Registered Nurse · Woonsocket, RI

NPI 1487908885 · NPPES record last updated Mar 3, 2014

Key facts

NPI
1487908885
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN51021 (RI)
Practice address
55 Cummings Way
Woonsocket, RI 02895-3247
Phone
(401) 235-7000
NPI assigned
Nov 7, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN51021RIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Alliance Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN51021 RI Yes

Addresses

Primary practice location

55 Cummings Way
Woonsocket, RI 02895-3247

Mailing address

55 Cummings Way
Woonsocket, RI 02895-3247
Phone (401) 235-7000

Other providers in Woonsocket, RI

All providers in Woonsocket, RI · Registered Nurse in Rhode Island

Sources for this page

Verify at the official NPI Registry.