Provider Demographics
NPI:1770561003
Name:DEL SESTO, RICHARD DONALD (CRNA)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:DONALD
Last Name:DEL SESTO
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:188 OAK HILL AVE
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-6145
Mailing Address - Country:US
Mailing Address - Phone:401-787-6949
Mailing Address - Fax:401-723-7005
Practice Address - Street 1:188 OAK HILL AVE
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-6145
Practice Address - Country:US
Practice Address - Phone:401-787-6949
Practice Address - Fax:401-723-7005
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRNA36582367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered