Active NPIIndividual provider

Shirley A Fazzino, LIC AC

Acupuncturist in Providence, Rhode Island

NPI Number1063574333
Practice location
325 Williams St, Providence, RI 02906-3845
Fax
—
Last updated
July 8, 2007

Shirley A Fazzino is an Acupuncturist based in Providence, RI. Shirley A Fazzino practices in Providence, RI and has the professional credentials of LIC AC. The NPI Number for Shirley A Fazzino is 1063574333 and holds a License No. 196 (MA). The current practice location address for Shirley A Fazzino is 325 Williams St, Providence, RI 02906-3845 and can be reached out via phone at 401-621-8480.

Provider Profile Details

NPI Number
1063574333
Provider Name
Shirley A Fazzino
Credential
LIC AC
Provider Entity Type
Individual
Gender
Female
Address
325 Williams St, Providence, RI 02906-3845
Phone Number
401-621-8480
Primary Taxonomy
Acupuncturist · 171100000X
Sole Proprietor
No
Provider Enumeration Date
December 14, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
325 Williams St
Providence, RI 02906-3845
Zip
02906-3845
Phone Number
401-621-8480
Providence, RI 02906Get directions →

Provider Business Mailing Address Details

Address
325 Williams St
Providence, RI 02906-3845
City
Providence
State
RI
Zip
02906-3845
Phone Number
401-621-8480

License Information

License Number
196
License State
MA
Taxonomy
Acupuncturist · 171100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shirley A Fazzino, LIC AC?

The NPI number of Shirley A Fazzino, LIC AC is 1063574333. It was assigned on December 14, 2006 and is currently active in the NPPES registry.

What is the specialty of Shirley A Fazzino, LIC AC?

Shirley A Fazzino, LIC AC is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in MA under license number 196.

Where does Shirley A Fazzino, LIC AC practice?

The practice location is 325 Williams St, Providence, RI 02906-3845. The office can be reached at 401-621-8480 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063574333 directly on the NPPES registry website.

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