Individual provider · Type 1 NPI

Marykate Dunleavy, MSPAS, PA-C

Medical Physician Assistant · Providence, RI

NPI number 1396800520 Active

Practice location

593 Eddy St
Providence, RI 02903-4923

Call (401) 519-1604 Map

Fax (401) 272-0538

Mailing address

PO Box 9484
Providence, RI 02940-9484

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA00489 (RI)
Medical Physician Assistant 363AM0700X029700 (NY)
Medical Physician Assistant 363AM0700X9116904 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1396800520

Marykate Dunleavy, MSPAS, PA-C's National Provider Identifier is 1396800520, issued on Dec 27, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Providence, RI. The record was last updated on Mar 5, 2026.