Amanda Desenna, CRNP | |
100 Kenyon Ave, South Kingstown, RI 02879-4216 | |
(401) 782-8000 | |
Not Available |
Full Name | Amanda Desenna |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 100 Kenyon Ave, South Kingstown, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639752595 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN02643 (Rhode Island) | Primary |
Entity Name | Massachusetts General Physicians Organization Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
Entity Name | The General Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
Entity Name | Brigham & Womens Physicians Organization Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 |
Mailing Address | Practice Location Address |
---|---|
Amanda Desenna, CRNP 1945 S Woodstock St, Philadelphia, PA 19145-2829 Ph: (401) 527-2170 | Amanda Desenna, CRNP 100 Kenyon Ave, South Kingstown, RI 02879-4216 Ph: (401) 782-8000 |
Laura Davidson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 65 Village Square Dr Ste 302, South Kingstown, RI 02879 Phone: 401-785-0040 Fax: 401-633-6253 | |
Brigid Guidera, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 36 S County Commons Way Ste C5, South Kingstown, RI 02879 Phone: 401-782-2400 | |
Andria Duarte, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 66 Main St Ste 202, South Kingstown, RI 02879 Phone: 401-241-5660 | |
Katie Gervasini, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 59 S County Commons Way Fl 2, South Kingstown, RI 02879 Phone: 401-783-0084 |