Individual
MYRA NADEEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
593 EDDY ST APCMAIN, PROVIDENCE, RI 02903
(401) 444-5435
(401) 444-8301
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01482
RI
Other
Enumeration date
07/15/2022
Last updated
09/27/2022
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