Individual
STEPHANIE NICOLE BURSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
41 SANDERSON RD STE 201, SMITHFIELD, RI 02917-2603
(401) 949-0300
(401) 349-3387
Mailing address
10 DAVOL SQ STE 400, PROVIDENCE, RI 02903-4760
(401) 421-4000
(401) 272-1456
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01144
RI
Other
Enumeration date
06/20/2019
Last updated
03/29/2024
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