Doctor Name: | JANINE MARY STELLO |
NPI Number: | 1275813248 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | RN2263949 |
Business Practice Address: | 186 Providence St West Warwick, RI - 028932508 |
Business Phone Number: | 4016152800 |
Business Fax Number: | 4016152805 |
Mailing Address: | 450 Clinton St, WOONSOCKET |
State: | RI |
Postal Code: | 028953207 |
Phone Number: | 4017674100 |
Fax Number: | 4012356899 |
NPI Enumeration Date: | 08/23/2011 |
NPI Last Update Date: | 02/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN2263949 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |