IndividualActive
Ibrahim Shode
NPI 1497561203 · Certified Registered Nurse Anesthetist · North Providence, RI
Provider details
- NPI number
- 1497561203
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 113637-23 (NH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
57 Villa Ave
North Providence, RI 02904-4421
Phone: (401) 663-8893
Approximate (ZIP-level) locationGet directions
Mailing address
57 Villa Ave
North Providence, RI 02904-4421
Registry dates
- Enumerated
- 2024-12-06
- Last updated
- 2025-02-13
- Certified
- 2025-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.