Nicolas Antonellis
Nicolas Antonellis is a Physician Assistant in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2025.
- Licensed in
- RI
- In the registry since
- 2025
Practice location Address checks out
593 Eddy StProvidence, RI 02903-4923
Phone: (401) 444-2734
Fax: (401) 606-8555
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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 PA01983 (RI) |
|---|
Record details
| NPI number | 1932095346 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 13, 2025 |
| Last updated in NPPES | October 1, 2026 |
| Certification date | October 1, 2026 |
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