Individual
EMILY PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
41 SANDERSON RD STE 103, SMITHFIELD, RI 02917-2611
(401) 606-1004
(401) 606-1153
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
PA01742
RI
Other
Enumeration date
07/17/2024
Last updated
12/05/2024
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