NPI 1639752595

Amanda Desenna, CRNP

Practitioner Family Nurse Practitioner South Kingstown, RI

Practice location

Address: 100 Kenyon Ave, South Kingstown, RI 02879-4216
Phone: (401) 782-8000
Mailing address: 1945 S Woodstock St, Philadelphia, PA 19145-2829

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence APRN02643 (RI)

Other Nurse Practitioner providers in Rhode Island →

Registry record

NPI: 1639752595
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Apr 2021
Record last updated: 29 Apr 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.