Provider Demographics
NPI:1194311795
Name:AMORE, PATRICE JOYCE
Entity type:Individual
Prefix:
First Name:PATRICE
Middle Name:JOYCE
Last Name:AMORE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 THERESA ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02919-5021
Mailing Address - Country:US
Mailing Address - Phone:401-654-8337
Mailing Address - Fax:
Practice Address - Street 1:32 THERESA ST
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:RI
Practice Address - Zip Code:02919-5021
Practice Address - Country:US
Practice Address - Phone:401-654-8337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-17
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty