Individual provider · Type 1 NPI
Mary Reedy
Surgical Physician Assistant · Providence, RI
NPI number
1023647534
Active
Practice location
17 University Ave
Providence, RI 02906-4121
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Surgical Physician Assistant Primary | 363AS0400X | PA01295 (RI) |
Surgical Physician Assistant: Definition to come...
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About NPI 1023647534
Mary Reedy's National Provider Identifier is 1023647534, issued on Apr 6, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Providence, RI. The record was last updated on Feb 10, 2021.