Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Abigail Boulos, PA-C

Individual provider Physician Assistant · NPI 1316870546

Abigail Boulos, PA-C is a Physician Assistant in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2026.

Licensed in
RI
In the registry since
2026
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

148 W River St Ste 3
Providence, RI 02904-2615
Phone: (401) 421-6306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01971 (RI)

Record details

NPI number1316870546
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 6, 2026
Last updated in NPPESSeptember 25, 2026
Certification dateSeptember 25, 2026

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