Individual
ARIANE M MYRTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 273-0641
Mailing address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 273-0641
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA00696
RI
363AS0400X
Surgical Physician Assistant
Primary
PA00696
RI
Other
Enumeration date
09/17/2008
Last updated
02/17/2023
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