Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Michaela Procaccini

Individual provider Pediatric Nurse Practitioner · NPI 1619350030

Mrs. Michaela Procaccini is a Pediatric Nurse Practitioner in Providence, Rhode Island. Practices as a sole proprietor and works from 2 locations. Licensed in Rhode Island.

Licensed in
RI
In the registry since
2015
Specialties on file
2

Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2 Dudley St, Providence, RI 02905-3236 — (401) 457-1500

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence APRN00730 (RI)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence RN53193 (RI)

Record details

NPI number1619350030
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 2, 2015
Last updated in NPPESMarch 17, 2022
Certification dateMarch 17, 2022
Mailing address5 Deer Run Dr, Coventry, RI 02816-8523

Other providers in Providence