Individual
MISS TAMI R MENARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 BALD HILL RD, WARWICK, RI 02886-1617
(401) 444-7959
(401) 738-3857
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00439
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023019403
—
RI
Enumeration date
08/09/2005
Last updated
12/17/2025
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