| Doctor Name: | MISS TAMI R MENARD |
| NPI Number: | 1023019403 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | PA00439 |
| Business Practice Address: | 400 Bald Hill Rd Suite 526 Warwick, RI - 028861617 |
| Business Phone Number: | 4017384323 |
| Business Fax Number: | 4017383857 |
| Mailing Address: | 400 Bald Hill Rd, Suite 526 WARWICK |
| State: | RI |
| Postal Code: | 028861617 |
| Phone Number: | 4017384323 |
| Fax Number: | 4017383857 |
| NPI Enumeration Date: | 08/09/2005 |
| NPI Last Update Date: | 07/10/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA00439 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |