Provider Demographics
NPI:1801038187
Name:DELVECCHIO-GILBERT, LINDA JANE (NP)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:JANE
Last Name:DELVECCHIO-GILBERT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:334 BUDLONG RD
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-6341
Mailing Address - Country:US
Mailing Address - Phone:401-439-9935
Mailing Address - Fax:
Practice Address - Street 1:334 BUDLONG RD
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-6341
Practice Address - Country:US
Practice Address - Phone:401-439-9935
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-01
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RINPP37205363LP0200X
RIAPRN01368363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
RINPP37205OtherLICENSE