Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | CAPRN01538 | RI |
N | 363LW0102X | Nurse Practitioner - Women's Health | CAPRN00018 | RI |
NPI | 1073532297 |
---|---|
Provider Name | Heather Aliotta |
First Address | Providence, RI 02905-2401 |
Second Address | Providence, RI 02905 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 16/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
HA69550 | (05) | RI |