Healthcare Provider Details

I. General information

NPI: 1801392477
Provider Name (Legal Business Name): DR. KATRINA RESSLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2018
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

695 EDDY ST
PROVIDENCE RI
02903-4941
US

IV. Provider business mailing address

695 EDDY ST STE 21
PROVIDENCE RI
02903-4941
US

V. Phone/Fax

Practice location:
  • Phone: 401-272-1550
  • Fax:
Mailing address:
  • Phone: 401-272-1559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number012354
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number292648
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: