person
Susanne G. Defedele, PCNS
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in Lincoln, Rhode Island
NPI 1952484545

Susanne G. Defedele is a Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist based in Lincoln, RI and is specialized in Psychiatric/Mental Health, Child & Adolescent. Susanne G. Defedele practices in Lincoln, RI and has the professional credentials of PCNS. The NPI Number for Susanne G. Defedele is 1952484545 and holds a License No. PPNS00002 (Rhode Island).

The current practice location address for Susanne G. Defedele is 101 Higginson Ave, Lincoln, RI and can be reached out via phone at 401-723-7007. You can also correspond with Susanne G. Defedele through the mailing address at 101 HIGGINSON AVE, LINCOLN, RI - 02865-2732 (mailing address contact number: 401-723-7007).

Location: 101 Higginson Ave, Lincoln, RI, 02865-2732
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Provider Profile Details
NPI Number
1952484545
Provider Name
Susanne G. Defedele
Credential
PCNS
Provider Entity Type
Individual
Gender
Female
Address
101 Higginson Ave, Lincoln, RI, 02865-2732
Phone Number
401-723-7007
Fax Number
Provider Enumeration Date
10/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
411680 01 RI BLUE CHIP OF RI
27266-5 01 RI BCBS OF RI
SD51376 05 RI
institution
Provider Business Practice Location Address Details
Address
101 Higginson Ave
City
State
Zip
02865-2732
Phone Number
401-723-7007
Fax Number
person
Provider Business Mailing Address Details
Address
101 Higginson Ave
City
State
Zip
02865-2732
Phone Number
401-723-7007
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health, Child & Adolescent
Taxonomy
License No.
PPNS00002 (Rhode Island)
Definition
Definition to come...
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