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

Mrs. Nicole Marie Gardella, RNP

Individual provider Nurse Practitioner · NPI 1639313810

Mrs. Nicole Marie Gardella, RNP is a Nurse Practitioner in Providence, Rhode Island. Qualified in 2008, 18 years ago. Practices with Coastal Medical Physicians Inc, a 219-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Rhode Island.

Years since qualifying
18
Licensed in
RI
In the registry since
2009
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Practice location Address checks out

909 N Main St
Providence, RI 02904-5752
Phone: (401) 273-4064
Fax: (401) 273-1268
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 900 Warren Ave Ste 401, East Providence, RI 02914-1430 — (401) 330-2480

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN00256 (RI)

Record details

NPI number1639313810
Entity typeIndividual (Type 1)
GenderFemale
Credentials RNP
Sole proprietorNo
NPI enumeratedMay 1, 2009
Last updated in NPPESMay 15, 2024
Certification dateMay 15, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Coastal Medical Physicians Inc — 219 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Providence