Provider Demographics
NPI:1538595525
Name:SASSON, RENATA FIGUEIREDO (PMHNP)
Entity type:Individual
Prefix:
First Name:RENATA
Middle Name:FIGUEIREDO
Last Name:SASSON
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 CROMWELL ST APT 306
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02907-2567
Mailing Address - Country:US
Mailing Address - Phone:978-652-8423
Mailing Address - Fax:
Practice Address - Street 1:331 BROADWAY STE 204
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02909-1101
Practice Address - Country:US
Practice Address - Phone:401-484-0996
Practice Address - Fax:401-648-4600
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-23
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN0996714-NP363LP0808X
RIAPRN00501363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health