Provider Demographics
NPI:1871645341
Name:COUTURE, DEIRDRE ODELIA (RNP)
Entity type:Individual
Prefix:MS
First Name:DEIRDRE
Middle Name:ODELIA
Last Name:COUTURE
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:106 NATE WHIPPLE HWY STE 101
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:RI
Mailing Address - Zip Code:02864-1403
Mailing Address - Country:US
Mailing Address - Phone:401-658-2020
Mailing Address - Fax:401-658-3612
Practice Address - Street 1:106 NATE WHIPPLE HWY STE 101
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:RI
Practice Address - Zip Code:02864-1403
Practice Address - Country:US
Practice Address - Phone:401-658-2020
Practice Address - Fax:014-658-3612
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RINPP37376363LA2200X
RIAPRN01135363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health