Provider Demographics
NPI:1801818083
Name:NANNI, LINDA (CNM)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:NANNI
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 IMPERIAL PL
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-4641
Mailing Address - Country:US
Mailing Address - Phone:401-727-4800
Mailing Address - Fax:401-728-4437
Practice Address - Street 1:18 IMPERIAL PL
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4641
Practice Address - Country:US
Practice Address - Phone:401-727-4800
Practice Address - Fax:401-728-4437
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMW00016367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife