BRITTA RENZULLI


Address: 2 Dudley St, Suite 190, Providence, RI 02905-3236
Phone: 4012721800

BRITTA RENZULLI (NPI# 1588911457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588911457
Entity Type Individual
Full Name BRITTA RENZULLI
Other Name BRITTA ANDREOZZI
Credential PA-C
Practice Address 2 Dudley St
Suite 190
Providence
RI 02905-3236
Mailing Address Po Box 16149
Rumford
RI 02916-0697
Practice Telephone 4012721800
Practice Fax Number 4014357069
Mailing Telephone 4014539625
Mailing Fax Number 4014357069
Enumeration Date 2012-08-10
Last Update Date 2020-01-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA00647 RI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2 DUDLEY ST
SUITE 190
City PROVIDENCE
State RI
Zip Code 02905-3236

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356343651 Northeast Orthotics and Prosthetics Inc Prosthetic/Orthotic Supplier 2 Dudley St, Ste 161, Providence, RI 02905-3236 2005-06-01
1366935231 Christy Gandhi Obstetrics & Gynecology 2 Dudley St, Providence, RI 02905-3236 2018-06-14
1295274215 Nora Kinslow Occupational Therapist 2 Dudley St, Suite 200, Providence, RI 02905-3236 2017-02-23
1578008082 Laura Nelson Occupational Therapist 2 Dudley St, Suite 200, Providence, RI 02905-3236 2016-12-20
1619328127 Bryan Jon Berlin Physician Assistant 2 Dudley St, Suite 200, Providence, RI 02905-3236 2016-06-27
1245600238 Kristin Wedel Social Worker 2 Dudley St, Providence, RI 02905-3236 2015-10-02
1497155378 Michael Platz Occupational Therapist 2 Dudley St, Ste 200, Providence, RI 02905-3236 2014-08-28
1164831160 Nicholas Bruno Physical Therapist 2 Dudley St, Suite 200, Providence, RI 02905-3236 2014-08-05
1619389160 Laurie J Deruosi Nurse Practitioner 2 Dudley St, Suite G 85, Providence, RI 02905-3236 2014-06-02
1851729511 Rhode Island Hospital Surgery 2 Dudley St, Suite 180, Providence, RI 02905-3236 2013-10-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477100808 Raisa Emilia Garcia-diaz Counselor 66 Pavilion Avenue, Providence, RI 02905 2019-08-21
1962976571 Nike A. Kendall Social Worker Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 2019-01-16
1891265443 Carolyn Te Young Pathology 1320 Narragansett Blvd, Cranston, RI 02905 2018-11-27
1417427071 Julianne Elizabeth Houtchens Dietitian, Registered Adult Primary Care 245 Chapman Street, Providence, RI 02905 2018-11-27
1922577394 Dilenia C Cruz Health Educator 335r Prairie Ave., Suite 2b, Providence, RI 02905 2018-11-15
1639653116 Varina S. Gunn Health Educator 335r Prarie Ave., Suite 2b, Providence, RI 02905 2018-09-20
1427590421 Cardea Healthcare LLC In Home Supportive Care 100 Pavilion Avenue, Suite 101, Providence, RI 02905 2016-11-08
1265884597 Maxwell King Physical Therapy Assistant 48 Moorland Avenue, Cranston, RI 02905 2016-07-11
1346698024 Samantha Lea Colli Physician Assistant 100 Dudley St Fl 3, Providence, RI 02905 2016-06-02
1346697448 Amy Jean Simpson Marriage & Family Therapist 1981 Broad Street, Cranston, RI 02905 2016-05-18
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356900591 Ryan O'kelly Physician Assistant 285 Promenade St, Providence, RI 02908 2019-06-11
1558841999 Lindsey Scherer Physician Assistant 825 Chalkstone Ave, Providence, RI 02908 2018-08-15
1134658339 Kevin P Santilli Physician Assistant 593 Eddy St, Providence, RI 02903-4923 2017-06-09
1194260984 Brittany Hogan Physician Assistant 593 Eddy St, 6th Floor, Providence, RI 02903-4923 2017-01-03
1356789549 Michelle Bernice Ristuccia Physician Assistant 164 Summit Ave # C70, Providence, RI 02906-2853 2013-06-10
1356691430 Kelvin Nam Doan Physician Assistant 164 Summit Ave # C70, Providence, RI 02906-2853 2012-09-14
1174896211 Stephanie Slone Physician Assistant 593 Eddy St, Providence, RI 02903-4923 2012-02-21
1316210545 Peter Richard Mello Physician Assistant 118 Dudley St, Providence, RI 02905-2403 2012-02-19
1679844807 Joseph Paul Paciello Physician Assistant 2 Dudley St, Providence, RI 02905-3236 2012-01-19
1023306156 Linhuang Han Physician Assistant 593 Eddy St, Main 4, Providence, RI 02903-4923 2011-07-11
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Competitor

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City PROVIDENCE
Zip Code 02905

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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