BRIDGET M ANDALORO (NPI# 1184104648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184104648 |
| Entity Type | Individual |
| Full Name | BRIDGET M ANDALORO |
| Credential | APRN |
| Practice Address |
1 Randall Sq Providence RI 02904-2709 |
| Mailing Address |
375 Allens Ave Providence RI 02905-5010 |
| Practice Telephone | 4012746339 |
| Practice Fax Number | 4014536290 |
| Mailing Telephone | 4014440400 |
| Mailing Fax Number | 4014440468 |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN01914 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 RANDALL SQ |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02904-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629074752 | Magdalena G Krzystolik | Ophthalmology | 1 Randall Sq, Suite 203, Providence, RI 02904-2709 | 2005-06-23 |
| 1366051849 | Caroline S. Murray | Nurse Practitioner | 1 Randall Sq, Providence, RI 02904-2709 | 2020-07-30 |
| 1134744659 | Briana J. Bartone | Nurse Practitioner | 1 Randall Sq, Providence, RI 02904-2709 | 2020-06-10 |
| 1639717408 | Kaleena Crooks | Registered Nurse | 1 Randall Sq, Providence, RI 02904-2709 | 2019-12-12 |
| 1922657907 | Catherine Putko | Nurse Practitioner | 1 Randall Sq, Providence, RI 02904-2709 | 2019-09-11 |
| 1003383795 | Phina A Mayu | Nurse Practitioner | 1 Randall Sq, Providence, RI 02904-2709 | 2018-10-31 |
| 1982185526 | Takeysha A Duarte | Nurse Practitioner | 1 Randall Sq, Providence, RI 02904-2709 | 2018-08-22 |
| 1649788258 | Caroline Miringu-ruitha | Nurse Practitioner | 1 Randall Sq, Providence, RI 02904-2709 | 2018-01-17 |
| 1083138572 | The Providence Community Health Centers, Inc | Clinic/Center | 1 Randall Sq, Providence, RI 02904-2709 | 2017-07-27 |
| 1437507258 | Cherie L Davis | Counselor | 1 Randall Sq, Providence, RI 02904-2709 | 2016-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144792383 | Lifespan Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 180 Corliss Street, Suite A, Providence, RI 02904 | 2018-12-28 |
| 1780168229 | Beth M. Kalunian | Social Worker | 480 Charles Street, Providence, RI 02904 | 2018-09-20 |
| 1588161608 | Michael P. Johnson, Md, Inc | Internal Medicine | 148 W River St Ste 22b, Providence, RI 02904 | 2018-04-06 |
| 1780045948 | Fred Saccoccio | Pharmacist | 15 Smithfield Road, No Providence, RI 02904 | 2016-03-16 |
| 1699148999 | Latin Adult Day Health Care Center | Clinic/Center | 665 Charles Street, Providence, RI 02904 | 2015-11-09 |
| 1144639956 | Dina P Toolin | Occupational Therapist | 195 Collyer St. 3rd Floor, University Medical Center/miriam Hospital Outpatient, Providence, RI 02904 | 2014-08-06 |
| 1801208798 | Seth Clark | Internal Medicine | 200 Corliss St, Providence, RI 02904 | 2014-05-27 |
| 1134554645 | Molly Elizabeth Smith | Physical Therapist | 1405 Douglas Ave, North Providence, RI 02904 | 2013-09-04 |
| 1336408723 | Emad Awa | Pediatrics | 1 Randall Sq Ste 404, Providence, RI 02904 | 2012-05-07 |
| 1598036790 | Joseph F. Osmanski, Od, Inc | Optometrist | 1971 Mineral Spring Avenue, N. Providence, RI 02904 | 2012-01-19 |
| Find all providers in zip 02904 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154933984 | Sarah Jane France | Nurse Practitioner | 1 Randall Sq Ste 409, Providence, RI 02904-7405 | 2020-08-22 |
| 1225664386 | Monica A Harris | Nurse Practitioner | 1078 S 800 E, Providence, UT 84332-2400 | 2020-03-20 |
| 1669008728 | Sean Andrew Rebello | Nurse Practitioner | 180 Corliss St Ste E, Providence, RI 02904-2602 | 2020-03-19 |
| 1902456270 | Nelsy Robles Colon | Nurse Practitioner | 1 Randall Sq Ste 205, Providence, RI 02904-2773 | 2019-09-18 |
| 1518511021 | Effiem Obasi | Nurse Practitioner | 143 Longwood Ave, Providence, RI 02908-1121 | 2019-08-01 |
| 1861056608 | Temperance Taylor | Nurse Practitioner | 222 Dora St Apt 1, Providence, RI 02909-3824 | 2019-04-26 |
| 1790240141 | Miriannys Rivas | Nurse Practitioner | 170 Rhodes St, Providence, RI 02903-4919 | 2019-02-08 |
| 1962970947 | Wesley Irish | Nurse Practitioner | 21 Pekin St, Providence, RI 02908-3716 | 2018-11-07 |
| 1902317449 | Ashley Lynn Wright | Nurse Practitioner | 120 Dudley St Ste 104, Providence, RI 02905-2431 | 2017-10-23 |
| 1699216226 | Julie L'europa | Nurse Practitioner | 1085 North Main Street, Providence, RI 02904-7426 | 2017-03-15 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02904 |
Please comment or provide details below to improve the information on BRIDGET M ANDALORO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.