WENDY C. FENNELLY PA-C
NPI 1336347491
Physician Assistant in Providence, RI

Q: What is Wendy Fennelly's NPI number?

The NPI number for Wendy Fennelly is 1336347491. It was assigned to this individual provider in the NPPES registry on July 10, 2007.

Q: What is Wendy Fennelly's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Wendy Fennelly was last updated on June 13, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 10, 2007

345 BLACKSTONE BLVD, PROVIDENCE, RI 02906(401) 455-6200(401) 455-6404 Get Directions Write a Review

NPPES record last updated: June 13, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Wendy C. Fennelly Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WENDY C. FENNELLY PA-C (NPI 1336347491) is an individual physician assistant in Providence, Rhode Island, licensed in Rhode Island (64) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1336347491

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameWENDY C. FENNELLYCredential: PA-C

Location Address345 BLACKSTONE BLVDProvidence, RI 02906-4800

Mailing Address345 Blackstone BlvdProvidence, RI 02906-4800 · (401) 455-6200 · Fax (401) 455-6404

Phone(401) 455-6200

Fax(401) 455-6404

Sole ProprietorNo

Enumeration DateJuly 10, 2007

Last NPPES UpdateJune 13, 2008

✔ NPI 1336347491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in RI · 64

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 64 (RI)

345 BLACKSTONE BLVD, Providence, RI 02906

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