Individual
MRS. JOYCE ANN MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 CVS DR, WOONSOCKET, RI 02895-6146
(866) 389-2727
Mailing address
4050 DEAN LAKES BLVD, SHAKOPEE, MN 55379-2714
(866) 389-2727
(401) 287-0228
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA17447
TX
207Q00000X
Family Medicine Physician
PA2022-0087
NM
363A00000X
Physician Assistant
Primary
10976
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000645989
ANTHEM PIN
IN
Enumeration date
12/10/2009
Last updated
12/05/2025
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