Healthcare Provider Details

I. General information

NPI: 1215746797
Provider Name (Legal Business Name): MARIA HOPE GASKELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/30/2024
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 BRIDGE WAY
PASCOAG RI
02859-3131
US

IV. Provider business mailing address

3 BARBARA CT
JOHNSTON RI
02919-4647
US

V. Phone/Fax

Practice location:
  • Phone: 401-567-0800
  • Fax:
Mailing address:
  • Phone: 401-442-3305
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA01898
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: