Provider Demographics
NPI:1578957288
Name:GIGUERE, DEIRDRE ANN (FNP)
Entity Type:Individual
Prefix:
First Name:DEIRDRE
Middle Name:ANN
Last Name:GIGUERE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 BENNETT ST
Mailing Address - Street 2:
Mailing Address - City:WOONSOCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02895-4618
Mailing Address - Country:US
Mailing Address - Phone:401-450-2251
Mailing Address - Fax:855-826-7240
Practice Address - Street 1:475 KILVERT ST
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-1379
Practice Address - Country:US
Practice Address - Phone:401-450-2251
Practice Address - Fax:855-826-7240
Is Sole Proprietor?:No
Enumeration Date:2015-03-20
Last Update Date:2015-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAPRN00632363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily