Individual
ALYSSE KATHERINE PAZIENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5174
Mailing address
125 METRO CENTER BLVD STE 2000, WARWICK, RI 02886-1785
(401) 432-2500
(401) 889-3619
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4515
CT
363A00000X
Physician Assistant
Primary
PA01787
RI
363A00000X
Physician Assistant
PA100432
MA
363AM0700X
Medical Physician Assistant
4515
CT
Other
Enumeration date
03/20/2019
Last updated
08/13/2026
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