IndividualActive
Marykate Dunleavy, MSPAS, PA-C
NPI 1396800520 · Medical Physician Assistant · Providence, RI
Provider details
- NPI number
- 1396800520
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSPAS, PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA00489 (RI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
593 Eddy St
Providence, RI 02903-4923
Phone: (401) 519-1604
Fax: (401) 272-0538
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 9484
Providence, RI 02940-9484
Registry dates
- Enumerated
- 2006-12-27
- Last updated
- 2026-03-05
- Certified
- 2026-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.