Individual provider · Type 1 NPI
Donna Marie Rondeau-Marzullo, NP
Gerontology Nurse Practitioner · Riverside, RI
NPI number
1043409790
Active
Practice location
375 Wampanoag Trl, Suite 102
Riverside, RI 02915-2232
Fax (401) 649-4011
Mailing address
110 Elm St
Providence, RI 02903-4626
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | APRN00484 (RI) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1043409790
Donna Marie Rondeau-Marzullo, NP's National Provider Identifier is 1043409790, issued on Oct 18, 2007. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Riverside, RI. The record was last updated on Jun 19, 2019.