Individual provider · Type 1 NPI

Abigail Boulos, PA-C

Physician Assistant · Providence, RI

NPI number 1316870546 Active

Practice location

148 W River St Ste 3
Providence, RI 02904-2615

Call (401) 421-6306 Map

Mailing address

PO Box 202230
Dallas, TX 75320-2230

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA01971 (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 1316870546

Abigail Boulos, PA-C's National Provider Identifier is 1316870546, issued on Jun 6, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Providence, RI. The record was last updated on Sep 25, 2026.