Individual
MICHELLE BERNICE RISTUCCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
227 CENTERVILLE RD STE 2, WARWICK, RI 02886-4394
(401) 736-3731
(401) 732-8484
Mailing address
PO BOX 16149, RUMFORD, RI 02916-0697
(401) 453-9625
(401) 435-7069
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA7145
MA
363AS0400X
Surgical Physician Assistant
Primary
PA00714
RI
363AS0400X
Surgical Physician Assistant
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Other
Enumeration date
06/10/2013
Last updated
04/17/2026
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