Most Relevant Information
Provider Data
| NPI Number: | 1003407958 |
| Provider Name: | STEPHANIE DEMELLO NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | APRN03872 |
Most Important Dates
| Enumeration Date: | 02/02/2021 |
| Last Updated: | 12/06/2023 |
Provider Practice Location
1010 PLAINFIELD ST
JOHNSTON
RI
029196771
Practice Location Phone/Fax
| Phone: | 7744004842 |
| Fax: |
Provider Mailing Location
456 TUCKER ST
FALL RIVER
MA
027212336
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |