Abigail Boulos, PA-C
Physician Assistant in Providence, Rhode Island
1316870546- Practice location
- 148 W River St Ste 3, Providence, RI 02904-2615
- Phone
- 401-421-6306
- Fax
- —
- Last updated
- September 25, 2026
Abigail Boulos is a Physician Assistant based in Providence, RI. Abigail Boulos practices in Providence, RI and has the professional credentials of PA-C. The NPI Number for Abigail Boulos is 1316870546 and holds a License No. PA01971 (RI). The current practice location address for Abigail Boulos is 148 W River St Ste 3, Providence, RI 02904-2615 and can be reached out via phone at 401-421-6306.
Provider Profile Details
- NPI Number
- 1316870546
- Provider Name
- Abigail Boulos
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 148 W River St Ste 3, Providence, RI 02904-2615
- Phone Number
- 401-421-6306
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 6, 2026
- Last Update Date
- September 25, 2026
- Certification Date
- September 25, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 148 W River St Ste 3
Providence, RI 02904-2615 - City
- Providence
- State
- Rhode Island
- Zip
- 02904-2615
- Phone Number
- 401-421-6306
Provider Business Mailing Address Details
- Address
- Po Box 202230
Dallas, TX 75320-2230 - City
- Dallas
- State
- TX
- Zip
- 75320-2230
License Information
- License Number
- PA01971
- License State
- RI
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Providence, RI
View all Physician Assistants in Providence →- Abigail Brown, PA-CPhysician Assistant · NPI 1568344273
- Alana O EliasPhysician Assistant · NPI 1619580156
- Alex Costa, PA-CPhysician Assistant · NPI 1881124162
- Alexander T Jorrin, PA-CPhysician Assistant · NPI 1811461403
- Alison Migliori, PA-CPhysician Assistant · NPI 1245791862
- Alison Pardee, PAPhysician Assistant · NPI 1205840808
Frequently Asked Questions
What is the NPI number of Abigail Boulos, PA-C?
The NPI number of Abigail Boulos, PA-C is 1316870546. It was assigned on June 6, 2026 and is currently active in the NPPES registry.
What is the specialty of Abigail Boulos, PA-C?
Abigail Boulos, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in RI under license number PA01971.
Where does Abigail Boulos, PA-C practice?
The practice location is 148 W River St Ste 3, Providence, RI 02904-2615. The office can be reached at 401-421-6306 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316870546 directly on the NPPES registry website.