Mrs. Susan M Bordonaro, DCNP

Individual provider Adult Health Clinical Nurse Specialist · NPI 1366547358

Mrs. Susan M Bordonaro, DCNP is a Nurse Practitioner in Middletown, Rhode Island. Qualified in 1999, 27 years ago. Practices with Dartmouth Dermatology Associates, PC, a 9-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying: 27
Licensed in: RI
In the registry since: 2006
Specialties on file: 2

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Practice location Address checks out

102 Valley Rd
Middletown, RI 02842-5237
Phone: (401) 239-1800
Fax: (401) 239-1801

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

Additional practice locations (5)

1524 Atwood Ave Ste 321, Johnston, RI 02919-3228 — (401) 239-1800
1525 Wampanoag Trl Ste 203, Riverside, RI 02915-1038 — (401) 239-1800
67 William S Canning Blvd, Tiverton, RI 02878-3003 — (401) 239-1800
851 Main St, Warren, RI 02885-4402 — (401) 239-1800
618 Toll Gate Rd, Warwick, RI 02886-2717 — (401) 239-1800

Specialties & licences

Nurse Practitioner (primary)	Taxonomy 363L00000X · Licence NPP34886 (RI)
Adult Health Clinical Nurse Specialist	Taxonomy 364SA2200X · Licence CAPRN00998 (RI)

Record details

NPI number	1366547358
Entity type	Individual (Type 1)
Gender	Female
Credentials	DCNP
Sole proprietor	No
NPI enumerated	September 14, 2006
Last updated in NPPES	January 30, 2020
Certification date	January 30, 2020

Medicare enrollment

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

Medicare specialty	NURSE PRACTITIONER
Medical school	OTHER
Graduated	1999 (27 years in practice)
Group practice	Dartmouth Dermatology Associates, Pc — 9 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount