Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BREA SHAY PRINDAVILLE, M.D.
ActiveDR. BREA SHAY PRINDAVILLE, M.D. is a 207NP0225X healthcare provider located in PROVIDENCE, Rhode Island. NPI 1912134529 is currently active in the NPPES registry. Verify at CMS.
207NP0225X · PROVIDENCE, RI
Registration Details
- NPI Number
- 1912134529
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 22, 2009 (17.170826346713 yrs)
- Last Updated
- Aug 6, 2024
- Licenses
-
15774 (RI)265523 (MA)265523 (MA)15774 (RI)15774 (RI)
Practice Information
- Address
-
148 W RIVER ST STE 1BPROVIDENCE, RI, 02904Browse RI providers · Browse ZIP 02904
- Phone
- 4012739310
- Fax
- 4012731270
- Primary Specialty
-
207NP0225X
207NP0225X
- Additional Specialty
- Dermatology
- Additional Specialty
- 207NP0225X
- Additional Specialty
- 207NP0225X
- Additional Specialty
- Pediatrics
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.