Michael Scott Trazi, PMHNP-BC | |
65 Village Square Dr Ste 302, South Kingstown, RI 02879-2569 | |
(401) 530-5090 | |
(401) 572-3364 |
Full Name | Michael Scott Trazi |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 65 Village Square Dr Ste 302, South Kingstown, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669878401 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN47243 (Rhode Island) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN01048 (Rhode Island) | Primary |
Entity Name | Emma Pendleton Bradley Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578768867 PECOS PAC ID: 3870527526 Enrollment ID: O20050921001082 |
Mailing Address | Practice Location Address |
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Michael Scott Trazi, PMHNP-BC 50 Holden St, Providence, RI 02908-5757 Ph: (401) 274-1122 | Michael Scott Trazi, PMHNP-BC 65 Village Square Dr Ste 302, South Kingstown, RI 02879-2569 Ph: (401) 530-5090 |
Laura Davidson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 65 Village Square Dr Ste 302, South Kingstown, RI 02879 Phone: 401-785-0040 Fax: 401-633-6253 | |
Brigid Guidera, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 36 S County Commons Way Ste C5, South Kingstown, RI 02879 Phone: 401-782-2400 | |
Amanda Desenna, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Kenyon Ave, South Kingstown, RI 02879 Phone: 401-782-8000 | |
Mrs. Andrea D'antonio, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 65 Village Square Dr, South Kingstown, RI 02879 Phone: 401-789-5924 Fax: 401-782-1770 | |
Andria Duarte, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 66 Main St Ste 202, South Kingstown, RI 02879 Phone: 401-241-5660 | |
Katie Gervasini, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 59 S County Commons Way Fl 2, South Kingstown, RI 02879 Phone: 401-783-0084 |