Provider Demographics
NPI:1770799355
Name:SHIFF, RITA ILENE (PA-C)
Entity type:Individual
Prefix:MS
First Name:RITA
Middle Name:ILENE
Last Name:SHIFF
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:BROWN UNIVERSITY HEALTH SERVICES
Mailing Address - Street 2:BOX 1928
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02912-0001
Mailing Address - Country:US
Mailing Address - Phone:401-863-3954
Mailing Address - Fax:401-863-7953
Practice Address - Street 1:BROWN UNIVERSITY HEALTH SERVICES
Practice Address - Street 2:BOX 1928
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02912-0001
Practice Address - Country:US
Practice Address - Phone:401-863-3954
Practice Address - Fax:401-863-7953
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RIRI PA00151363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant