Favicchio, Laura

Favicchio, Laura is an individual health care provider with primary practice located at 125 Metro Center Blvd Ste 2000 , Warwick RI 02886-1785. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Favicchio, Laura can be contacted via phone (401) 432-2500.

Contact Information

Primary practice address
125 Metro Center Blvd Ste 2000 Warwick RI 02886-1785
Phone: (401) 432-2500
Fax: (401) 453-8220
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA00737 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA3844 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA3844 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00737 Rhode Island

Profile Details

NPI number 1760717219
LBN Legal business name Favicchio, Laura
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2009
Last updated Sep 30th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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