Individual
ALLISON PROANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4000
(401) 272-0538
Mailing address
125 WHIPPLE ST STE 3, PROVIDENCE, RI 02908-3258
(401) 519-0337
(401) 427-7795
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00130
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007006460
RI MEDICARE
RI
01
—
007058932
NPI
RI
01
—
01/15/2008
NHPRI
RI
01
—
1962455022
UEMF NPI
RI
01
—
30578-7
BLUECHIP
RI
01
—
408655
BCBSRI
RI
05
—
7006460
—
RI
01
—
939025129
RI MEDICARE GROUP NUMBER
RI
01
—
970006092
RAILROAD MEDICARE
RI
Enumeration date
07/27/2006
Last updated
01/23/2018
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