Provider Demographics
NPI:1699068551
Name:AUDETTE, GAIL E (RN)
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:E
Last Name:AUDETTE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1 COMMERCE ST
Mailing Address - Street 2:INTERNAL MEDICINE
Mailing Address - City:LINCOLN
Mailing Address - State:RI
Mailing Address - Zip Code:02865-1168
Mailing Address - Country:US
Mailing Address - Phone:401-793-8500
Mailing Address - Fax:401-793-8511
Practice Address - Street 1:1 COMMERCE ST
Practice Address - Street 2:INTERNAL MEDICINE
Practice Address - City:LINCOLN
Practice Address - State:RI
Practice Address - Zip Code:02865-1168
Practice Address - Country:US
Practice Address - Phone:401-793-8500
Practice Address - Fax:401-793-8511
Is Sole Proprietor?:No
Enumeration Date:2011-05-25
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RIRN21956163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator