Individual
GRACIETTE DA SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 RANDALL SQ STE 306, PROVIDENCE, RI 02904-2751
(401) 751-7546
(401) 751-6888
Mailing address
1 RANDALL SQ STE 306, PROVIDENCE, RI 02904-2751
(401) 751-7546
(401) 751-6888
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00145
RI
363A00000X
Physician Assistant
PA7524
MA
363AS0400X
Surgical Physician Assistant
PA00145
RI
363AS0400X
Surgical Physician Assistant
PA7524
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000030892
B/S
RI
01
—
007158
TUFTS HEALTH PLAN
RI
01
—
03-00134
UNITED HEALTH PLAN
RI
01
—
3804
NEIGHBORHOOD HEALTH
RI
01
—
401452
HARVARD PILGRIM HEALTH
RI
01
—
406469
BCHIP
RI
05
—
GD31756
—
RI
Enumeration date
08/03/2005
Last updated
06/05/2020
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