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Contact Information

MICHELLE J BRODEUR, CRNA
101 DUDLEY ST
PROVIDENCE, RI02905
 Phone: 401-453-7950
 Fax: 401-453-7658
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for MICHELLE J BRODEUR · (Female)

NPI # 1710964846
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 12/29/2005
Last updated 11/07/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • RI License # APRN00288
  • RI License # RNA25993
Hospital affiliation(s)
  • WOMEN AND INFANTS HOSPITAL OF RHODE ISLAND - (Acute Care)
    101 DUDLEY STREET
    PROVIDENCE, RI 02905
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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