Individual
ANDREA KRASNOWIECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1598 S COUNTY TRL STE 115, EAST GREENWICH, RI 02818-1762
(401) 884-0333
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
PA01082
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922476258
—
RI
Enumeration date
09/03/2015
Last updated
04/02/2024
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