Individual
NICOLE BLAZE BARTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 737-7000
Mailing address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 737-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00705
RI
Other
Enumeration date
09/30/2009
Last updated
02/13/2026
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