Individual
BETHANY BUSSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
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
363A00000X
Physician Assistant
Primary
PA01915
RI
363A00000X
Physician Assistant
Primary
—
RI
Other
Enumeration date
03/30/2026
Last updated
08/10/2026
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