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Contact Information

DAVID ANTICO, RN
34 SMITH RD
NEWPORT, RI02841-1007
 Phone: 401-841-4170
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for DAVID ANTICO · (Male)

NPI # 1437596699
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 05/29/2013
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # RN585298PA
  • PA License # SP013584
  • Other 14030003000461 MEDICARE DCN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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