Active NPIIndividual provider

Mrs. Susan M Bordonaro, DCNP

Nurse Practitioner in Middletown, Rhode Island

NPI Number1366547358
Practice location
102 Valley RD, Middletown, RI 02842-5237
Fax
401-239-1801
Last updated
January 30, 2020

Susan M Bordonaro is a Nurse Practitioner based in Middletown, RI. Susan M Bordonaro practices in Middletown, RI and has the professional credentials of DCNP. The NPI Number for Susan M Bordonaro is 1366547358 and holds a License No. CAPRN00998 (RI). The current practice location address for Susan M Bordonaro is 102 Valley RD, Middletown, RI 02842-5237 and can be reached out via phone at 401-239-1800 and via fax at 401-239-1801.

Provider Profile Details

NPI Number
1366547358
Provider Name
Susan M Bordonaro
Credential
DCNP
Provider Entity Type
Individual
Gender
Female
Address
102 Valley RD, Middletown, RI 02842-5237
Phone Number
401-239-1800
Fax Number
401-239-1801
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
September 14, 2006
Last Update Date
January 30, 2020
Certification Date
January 30, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
102 Valley RD
Middletown, RI 02842-5237
Zip
02842-5237
Phone Number
401-239-1800
Fax Number
401-239-1801
Middletown, RI 02842Get directions →

Provider Business Mailing Address Details

Address
102 Valley RD
Middletown, RI 02842-5237
City
Middletown
State
RI
Zip
02842-5237
Phone Number
401-239-1800
Fax Number
401-239-1801

License Information

License Number (1)
CAPRN00998
License State (1)
RI
Taxonomy (1)
Clinical Nurse Specialist, Adult Health · 364SA2200X
License Number (2)
NPP34886
License State (2)
RI
Taxonomy (2)
Nurse Practitioner · 363L00000X · 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 Mrs. Susan M Bordonaro, DCNP?

The NPI number of Mrs. Susan M Bordonaro, DCNP is 1366547358. It was assigned on September 14, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Susan M Bordonaro, DCNP?

Mrs. Susan M Bordonaro, DCNP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in RI under license number CAPRN00998.

Where does Mrs. Susan M Bordonaro, DCNP practice?

The practice location is 102 Valley RD, Middletown, RI 02842-5237. The office can be reached at 401-239-1800 (phone) or 401-239-1801 (fax).

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 1366547358 directly on the NPPES registry website.

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