Jeremy Daniel Dibiasio

NPI #1114533783 in Warwick, Rhode Island

Provider Information

NPI Number: 1114533783
Entity Type: Individual
Name: Jeremy Daniel Dibiasio
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Sep 19, 2020
Last Updated: Sep 9, 2021

Practice Location

Address: 17 AIRPORT RD
City: Warwick
State: Rhode Island
ZIP Code: 02889-1001
Phone: (401) 606-2520

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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