Individual provider · Type 1 NPI

Michelle M. Miceli

Nurse Practitioner · Providence, RI

NPI number 1679821862 Active

Practice location

593 Eddy Street, Apc 4
Providence, RI 02903

Fax (401) 444-6681

Mailing address

PO Box 16149
Rumford, RI 02916-0697

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XAPRN01266 (RI)
Nurse Practitioner Primary 363L00000XAPRN01266 (RI)
Family Nurse Practitioner 363LF0000XNPP37705 (RI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1679821862

Michelle M. Miceli's National Provider Identifier is 1679821862, issued on Aug 21, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Providence, RI. The record was last updated on Mar 19, 2025.