Provider Demographics
NPI:1588661722
Name:NEUVILLE, ANNE E (RNP)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:E
Last Name:NEUVILLE
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 MAIN RD
Mailing Address - Street 2:
Mailing Address - City:TIVERTON
Mailing Address - State:RI
Mailing Address - Zip Code:02878-4625
Mailing Address - Country:US
Mailing Address - Phone:401-624-1400
Mailing Address - Fax:401-625-5271
Practice Address - Street 1:1800 MAIN RD
Practice Address - Street 2:
Practice Address - City:TIVERTON
Practice Address - State:RI
Practice Address - Zip Code:02878-4625
Practice Address - Country:US
Practice Address - Phone:401-624-1400
Practice Address - Fax:401-625-5271
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2019-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RINPP28847363L00000X
RIAPRN00518363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI7007333Medicaid
RI20897-2OtherRI BC/BS
RI405891OtherRI BLUE CHIP
RI405891OtherRI BLUE CHIP
RI7007333Medicaid