Active NPIIndividual provider

Colleen C Mcconnell, PA-C

Physician Assistant in Wakefield, Rhode Island

NPI Number1740893148
Practice location
100 Kenyon Ave, Wakefield, RI 02879-4216
Fax
—
Last updated
October 5, 2023

Colleen Chloe Mcconnell is a Physician Assistant based in Wakefield, RI. Colleen Chloe Mcconnell practices in Wakefield, RI and has the professional credentials of PA-C. The NPI Number for Colleen Chloe Mcconnell is 1740893148 and holds a License No. 10025 (GA). The current practice location address for Colleen Chloe Mcconnell is 100 Kenyon Ave, Wakefield, RI 02879-4216 and can be reached out via phone at 401-782-8000.

Provider Profile Details

NPI Number
1740893148
Provider Name
Colleen Chloe Mcconnell
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
100 Kenyon Ave, Wakefield, RI 02879-4216
Phone Number
401-782-8000
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
August 25, 2020
Last Update Date
October 5, 2023
Certification Date
October 5, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Kenyon Ave
Wakefield, RI 02879-4216
Zip
02879-4216
Phone Number
401-782-8000
Wakefield, RI 02879Get directions →

Provider Business Mailing Address Details

Address
848 Starcrest St
Brea, CA 92821-2050
City
Brea
State
CA
Zip
92821-2050
Phone Number
714-335-2691

License Information

License Number (1)
10025
License State (1)
GA
Taxonomy (1)
Physician Assistant · 363A00000X
Taxonomy (2)
Physician Assistant · 363A00000X
License Number (3)
PA62655
License State (3)
CA
Taxonomy (3)
Physician Assistant · 363A00000X
License Number (4)
PA01520
License State (4)
RI
Taxonomy (4)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Colleen C Mcconnell, PA-C?

The NPI number of Colleen C Mcconnell, PA-C is 1740893148. It was assigned on August 25, 2020 and is currently active in the NPPES registry.

What is the specialty of Colleen C Mcconnell, PA-C?

Colleen C Mcconnell, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in GA under license number 10025.

Where does Colleen C Mcconnell, PA-C practice?

The practice location is 100 Kenyon Ave, Wakefield, RI 02879-4216. The office can be reached at 401-782-8000 (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 1740893148 directly on the NPPES registry website.

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