Individual provider · Type 1 NPI

Madison Wanyo, PA

Physician Assistant · Pawtucket, RI

NPI number 1245916592 Active

Practice location

1145 Main St
Pawtucket, RI 02860-7825

Call (401) 722-0081 Map

Fax (401) 312-0318

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed
Family Medicine Physician 207Q00000XPA01619 (RI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1245916592

Madison Wanyo, PA's National Provider Identifier is 1245916592, issued on Jun 22, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Pawtucket, RI. The record was last updated on Jul 15, 2026.