Individual provider · Type 1 NPI

Monica Katharine Souza, PA-C

Medical Physician Assistant · Providence, RI

NPI number 1639629892 Active

Practice location

593 Eddy Street, Apc 6
Providence, RI 02903

Call (401) 793-9166 Map

Fax (401) 444-2788

Mailing address

117 Ellenfield St Ste 101
Providence, RI 02905-4513

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA5845 (MA)
Medical Physician Assistant Primary 363AM0700XPA00949 (RI)

Medical Physician Assistant: Definition to come...

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About NPI 1639629892

Monica Katharine Souza, PA-C's National Provider Identifier is 1639629892, issued on Oct 11, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Providence, RI. The record was last updated on Jul 25, 2018.