Provider Demographics
NPI:1881772929
Name:PALAZZO, ADELE (APRN,CNS)
Entity type:Individual
Prefix:
First Name:ADELE
Middle Name:
Last Name:PALAZZO
Suffix:
Gender:F
Credentials:APRN,CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 SOCKANOSSET CROSS RD STE 110
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-5558
Mailing Address - Country:US
Mailing Address - Phone:401-946-6400
Mailing Address - Fax:401-946-6406
Practice Address - Street 1:75 SOCKANOSSET CROSS RD STE 110
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-5558
Practice Address - Country:US
Practice Address - Phone:401-946-6400
Practice Address - Fax:401-946-6406
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRN18077363LP0808X
RIAPRN00019364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
S69007Medicare UPIN
RI007006964Medicare ID - Type Unspecified