Provider Demographics
NPI:1811775687
Name:MINUTO, MEGHAN E (FNP - BC, RN)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:E
Last Name:MINUTO
Suffix:
Gender:F
Credentials:FNP - BC, RN
Other - Prefix:
Other - First Name:MEGHAN
Other - Middle Name:E
Other - Last Name:METZLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:34 TERRACE DR
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-2527
Mailing Address - Country:US
Mailing Address - Phone:401-585-0402
Mailing Address - Fax:
Practice Address - Street 1:101 DUDLEY ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02905-2401
Practice Address - Country:US
Practice Address - Phone:401-274-1100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-21
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI56935363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily