NPI 1003453184

Brianna Southwick, PAC

Practitioner Physician Assistant Hartford, CT

Practice location

Address: 80 Seymour St Bldg 502, Hartford, CT 06102-8000
Phone: (860) 972-0549
Fax: (860) 545-5221
Mailing address: 333 Budlong Rd, Cranston, RI 02920-6337

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA01397 (RI)

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Registry record

NPI: 1003453184
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Dec 2019
Record last updated: 25 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.