NPI 1023647534

Mary Reedy

Practitioner Surgical Physician Assistant Providence, RI

Practice location

Address: 17 University Ave, Providence, RI 02906-4121
Phone: (775) 250-6885

Registered specialties (2)

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence PA01295 (RI)

Other Physician Assistant providers in Rhode Island →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Rhode Island →

Registry record

NPI: 1023647534
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Apr 2020
Record last updated: 10 Feb 2021

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.