Provider Demographics
NPI:1811721897
Name:DUARTE, ANDRIA (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:ANDRIA
Middle Name:
Last Name:DUARTE
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 E GREENWICH AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:WEST WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02893-5458
Mailing Address - Country:US
Mailing Address - Phone:401-241-5660
Mailing Address - Fax:
Practice Address - Street 1:66 MAIN ST STE 202
Practice Address - Street 2:
Practice Address - City:SOUTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02879-3651
Practice Address - Country:US
Practice Address - Phone:401-241-5660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-30
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAPRN04182363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health