Provider Demographics
NPI:1528118973
Name:CARON, ANNE MARIE (DNP, RN, ANP-BC)
Entity type:Individual
Prefix:MS
First Name:ANNE MARIE
Middle Name:
Last Name:CARON
Suffix:
Gender:F
Credentials:DNP, RN, ANP-BC
Other - Prefix:MRS
Other - First Name:ANNE MARIE
Other - Middle Name:
Other - Last Name:BERUBE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ANP-BC
Mailing Address - Street 1:355 SHAG BARK RD
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-7613
Mailing Address - Country:US
Mailing Address - Phone:401-525-6820
Mailing Address - Fax:888-999-3512
Practice Address - Street 1:475 KILVERT ST
Practice Address - Street 2:SUITE 310
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-1379
Practice Address - Country:US
Practice Address - Phone:401-525-6820
Practice Address - Fax:888-999-3512
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2015-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RINPP37381363LA2200X
MARN229297363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health