Individual provider · Type 1 NPI

Michelle Bernice Ristuccia, PA

Surgical Physician Assistant · Warwick, RI

NPI number 1356789549 Active

Practice location

227 Centerville Rd Ste 2
Warwick, RI 02886-4394

Fax (401) 732-8484

Mailing address

PO Box 16149
Rumford, RI 02916-0697

Other practice locations

  • 164 Summit Ave # C70, Providence, RI 02906-2853 · (401) 793-4545
  • 1 Blackstone St 2nd Floor, Providence, RI 02903 · (401) 453-7520
  • 101 Dudley St, Providence, RI 02905-2401 · (401) 274-1122
  • 101 Plain St Ste 4, Providence, RI 02903-4829 · (401) 738-6611
  • 101 Dudley St, Providence, RI 02905-2401 · (401) 736-3731
  • 14 Prospect St, Milford, MA 01757-3003 · (508) 473-1480

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA00714 (RI)
Physician Assistant 363A00000XPA7145 (MA)
Surgical Physician Assistant 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

3 other providers at this address

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About NPI 1356789549

Michelle Bernice Ristuccia, PA's National Provider Identifier is 1356789549, issued on Jun 10, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Warwick, RI. The record was last updated on Apr 17, 2026.