Dematteo, Irene

Dematteo, Irene is an individual health care provider with primary practice located at 300 Centerville Rd Suite 101 West , Warwick RI 02886-0201. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist. Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist is her primary health care specialty. Dematteo, Irene can be contacted via phone (401) 480-9820.

Contact Information

Primary practice address
300 Centerville Rd Suite 101 West Warwick RI 02886-0201
Phone: (401) 480-9820
Fax: (401) 842-0360
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PPNS00003 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X APRN00188 Rhode Island

Profile Details

NPI number 1497709497
LBN Legal business name Dematteo, Irene
Credentials APRN, PCNS, RN, BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Jul 18th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497709497 NPPES
Rhode Island MEDICAID PENDING

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