Individual
STEPHANIE MENGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
300 CROSSINGS BLVD, WARWICK, RI 02886-2878
(401) 777-7000
Mailing address
200 CROSSINGS BLVD STE 310, WARWICK, RI 02886-2872
(401) 777-7000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083267603
—
TN
Enumeration date
07/23/2019
Last updated
08/13/2026
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