Provider Demographics
NPI:1730674771
Name:DICENSO, RENEE DROLET (RN, MED, CSNT, CDOE)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:DROLET
Last Name:DICENSO
Suffix:
Gender:F
Credentials:RN, MED, CSNT, CDOE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 CHERRYWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:RI
Mailing Address - Zip Code:02828-2603
Mailing Address - Country:US
Mailing Address - Phone:401-663-6268
Mailing Address - Fax:
Practice Address - Street 1:11 CHERRYWOOD DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:RI
Practice Address - Zip Code:02828-2603
Practice Address - Country:US
Practice Address - Phone:401-663-6268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-22
Last Update Date:2018-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRN27488163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator