Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Wendy C. Fennelly, PA-C

Individual provider Physician Assistant · NPI 1336347491

Wendy C. Fennelly, PA-C is a Physician Assistant in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2007.

Licensed in
RI
In the registry since
2007
Specialties on file
2
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

345 Blackstone Blvd
Providence, RI 02906-4800
Phone: (401) 455-6200
Fax: (401) 455-6404
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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 64 (RI)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 64 (RI)

Record details

NPI number1336347491
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 10, 2007
Last updated in NPPESJune 13, 2008

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