Roditakis, Joanne Elizabeth

Roditakis, Joanne Elizabeth is an individual health care provider with primary practice located at 164 Summit Ave , Providence RI 02906-2853. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Roditakis, Joanne Elizabeth can be contacted via phone (401) 793-4005.

Contact Information

Primary practice address
164 Summit Ave Providence RI 02906-2853
Phone: (401) 793-4005
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NPP32221 Rhode Island

Profile Details

NPI number 1861528895
LBN Legal business name Roditakis, Joanne Elizabeth
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated May 20th, 2016 - about 8 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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