Individual provider · Type 1 NPI

Makayla Lourenco, NP

Pediatric Nurse Practitioner · Providence, RI

NPI number 1639848591 Active

Practice location

2 Dudley St Ste 190
Providence, RI 02905-3248

Fax (401) 868-2319

Mailing address

15 Lasalle Square
Providence, RI 02903

Other practice locations

  • 300 Longwood Ave, Boston, MA 02115-5724 · (617) 355-6000

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XAPRN02885 (RI)
Pediatric Nurse Practitioner Primary 363LP0200XAPRN02885 (RI)
Registered Nurse 163W00000XRN67134 (RI)
Pediatric Nurse Practitioner 363LP0200XRN2345178 (MA)

Pediatric Nurse Practitioner: Definition to come...

9 other providers at this address

Other pediatric nurse practitioner providers in Providence

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About NPI 1639848591

Makayla Lourenco, NP's National Provider Identifier is 1639848591, issued on Sep 13, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Providence, RI. The record was last updated on Dec 2, 2025.