Provider Demographics
NPI:1184054785
Name:SANTOMENNA, NORESSA DOVAL (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:NORESSA
Middle Name:DOVAL
Last Name:SANTOMENNA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BRYANT UNIVERSITY
Mailing Address - Street 2:1150 DOUGLAS PIKE
Mailing Address - City:SMITHFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02917
Mailing Address - Country:US
Mailing Address - Phone:401-232-6000
Mailing Address - Fax:508-473-2709
Practice Address - Street 1:BRYANT UNIVERSITY
Practice Address - Street 2:1150 DOUGLAS PIKE
Practice Address - City:SMITHFIELD
Practice Address - State:RI
Practice Address - Zip Code:02917
Practice Address - Country:US
Practice Address - Phone:401-232-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-18
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA276515363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily