Individual provider · NPI-1

Amanda D Cheatom

Registered Nurse · Warwick, RI

NPI number1083493670
StatusActive
Last updated in NPPESSep 25, 2023

Details

NPI
1083493670
Entity type
Individual (NPI-1)
Name
Amanda D Cheatom
Sex
Female
Sole proprietor
No
Enumeration date
Sep 25, 2023
Certification date
Sep 24, 2023
Last updated
Sep 25, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered NurseRN46486RIYes
163WC1500X Registered Nurse, Community HealthRN46486RI
163WD0400X Registered Nurse, Diabetes EducatorRN46486RI
163WP2201X Registered Nurse, Ambulatory CareRN46486RI

Practice location

400 Warwick Ave Ste 13
Warwick, RI 02888-1316

Phone 401-340-9388

Mailing address

Po Box 100373
Cranston, RI 02910-0066

Other practice locations

6 John H Chafee Blvd
Newport, RI 02840-1034

Phone 401-848-2160

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