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Individual

EMILY ANN PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 854-2505
Mailing address
110 ELM ST, PROVIDENCE, RI 02903-4626

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01810
RI

Other

Enumeration date
05/14/2025
Last updated
07/17/2025
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