Mallory Sullivan, PA - Providence, RI

Mallory Sullivan, PA

Physician Assistant in Providence, Rhode Island

NPI 1750689311

Mallory Sullivan is a Physician Assistant based in Providence, RI. Mallory Sullivan practices in Providence, RI and has the professional credentials of PA. The NPI Number for Mallory Sullivan is 1750689311 and holds a License No. PA00585 (Rhode Island).

The current practice location address for Mallory Sullivan is 593 Eddy St, Providence, RI and can be reached out via phone at 401-519-1604 and via fax at 401-272-0538.

Location: 593 Eddy St, Providence, RI, 02940-9484

NPI Number

1750689311

Provider Name

Mallory Sullivan

Credential

Provider Entity Type

Individual

Gender

Female

Address

593 Eddy St, Providence, RI, 02940-9484

Phone Number

401-519-1604

Fax Number

401-272-0538

Provider Enumeration Date

03/07/2011

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
0021394	01	RI	RI MEDICARE
MS84572	05	RI
06-09-2011	01	RI	NHPRI
06012011	01	RI	UNITED HEALTHCARE
06-18-2011	01	RI	BCBSRI
939025129	01	RI	RI MEDICARE GROUP

Address

593 Eddy St

City

Providence

State

Rhode Island

Zip

02903-4923

Phone Number

401-519-1604

Fax Number

401-272-0538

Address

593 Eddy St

City

Providence

State

Rhode Island

Zip

02903-4923

Phone Number

401-519-1604

Fax Number

401-272-0538

Type

Physician Assistants & Advanced Practice Nursing Providers

Classification

Physician Assistant

Speciality

Taxonomy

363A00000X

License No.

PA00585 (Rhode Island)

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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