Individual provider · Type 1 NPI

Jeremy Daniel Dibiasio

Student in an Organized Health Care Education/Training Program · Warwick, RI

NPI number 1114533783 Active

Practice location

17 Airport Rd
Warwick, RI 02889-1001

Call (401) 606-2520 Map

Other practice locations

  • 1 Warren Way, Providence, RI 02905-5000 · (401) 444-0530

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XAPRN02742 (RI)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

6 other providers at this address

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About NPI 1114533783

Jeremy Daniel Dibiasio's National Provider Identifier is 1114533783, issued on Sep 19, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Warwick, RI. The record was last updated on Sep 9, 2021.