Provider Demographics
NPI:1467623884
Name:DOUCETTE, REBECCA R (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:R
Last Name:DOUCETTE
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:MS
Other - First Name:REBECCA
Other - Middle Name:R
Other - Last Name:CELONA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:25 WELLS ST
Mailing Address - Street 2:EMERGENCY DEPARTMENT
Mailing Address - City:WESTERLY
Mailing Address - State:RI
Mailing Address - Zip Code:02891-2922
Mailing Address - Country:US
Mailing Address - Phone:401-348-2300
Mailing Address - Fax:
Practice Address - Street 1:25 WELLS ST
Practice Address - Street 2:EMERGENCY DEPARTMENT
Practice Address - City:WESTERLY
Practice Address - State:RI
Practice Address - Zip Code:02891-2922
Practice Address - Country:US
Practice Address - Phone:401-348-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-13
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF430387-1363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care