Individual
MS. SUSANNE THAYER KRAMERS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
208 COLLYER ST, PROVIDENCE, RI 02904-1560
(401) 421-4200
(401) 421-4232
Mailing address
208 COLLYER ST, PROVIDENCE, RI 02904-1560
(401) 421-4200
(401) 421-4232
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA00025
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000783
BKUE CROSS & BLUE SHIELD
RI
01
—
404576
BLUE CHIP
RI
05
—
7043202
—
RI
Enumeration date
07/01/2005
Last updated
07/08/2007
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