Most Relevant Information
Provider Data
| NPI Number: | 1003452913 |
| Provider Name: | BEVERLY CASINELLI APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2200X |
| Specialty: | Nurse Practitioner |
| License Number: | APRN02214 |
Most Important Dates
| Enumeration Date: | 11/26/2019 |
| Last Updated: | 01/30/2020 |
Provider Practice Location
765 ALLENS AVE
PROVIDENCE
RI
029055443
Practice Location Phone/Fax
| Phone: | 4016064150 |
| Fax: |
Provider Mailing Location
117 ELLENFIELD ST STE 101
PROVIDENCE
RI
029054541
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |