IndividualActive
Mary Reedy
NPI 1023647534 · Surgical Physician Assistant · Providence, RI
Provider details
- NPI number
- 1023647534
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Practice location
17 University Ave
Providence, RI 02906-4121
Phone: (775) 250-6885
Approximate (ZIP-level) locationGet directions
Mailing address
17 University Ave
Providence, RI 02906-4121
Registry dates
- Enumerated
- 2020-04-06
- Last updated
- 2021-02-10
- Certified
- 2021-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.