Individual provider · Type 1 NPI

Ryan Medeiros, RN

Registered Nurse · Providence, RI

NPI number 1174369946 Active

Practice location

360 Duncan Dr
Providence, RI 02906-7003

Call (401) 714-8290 Map

Mailing address

30 Paulette Dr
Coventry, RI 02816-7758

Other practice locations

530 N Main St, Providence, RI 02904-5762 · (401) 274-2500

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	RN79185 (RI)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1174369946

Ryan Medeiros, RN's National Provider Identifier is 1174369946, issued on Jul 2, 2024. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Providence, RI. The record was last updated on May 6, 2026.