NPI 1114533783
Jeremy Daniel Dibiasio
Practice location
- Address
- 17 Airport Rd, Warwick, RI 02889-1001
- Phone
- (401) 606-2520
Registered specialties (2)
Student in an Organized Health Care Education/Training Program
Primary
Family Nurse Practitioner
Registry record
- NPI
- 1114533783
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 19 Sep 2020
- Record last updated
- 9 Sep 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.