Petitpas, Patricia A

Petitpas, Patricia A is an individual health care provider with primary practice located at 900 Reservoir Ave , Cranston RI 02910-4453. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, Nursing Service Providers / Addiction (Substance Use Disorder). Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult is her primary health care specialty. Petitpas, Patricia A can be contacted via phone (401) 944-0194.

Contact Information

Primary practice address
900 Reservoir Ave Cranston RI 02910-4453
Phone: (401) 944-0194
Fax: (401) 944-0196
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCDP00043 Rhode Island
Nursing Service Providers / Registered Nurse 163W00000X RN22224 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X PPNS00064 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN22224 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X PPNS00064 Rhode Island
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X LCDP00043 Rhode Island

Profile Details

NPI number 1457446593
LBN Legal business name Petitpas, Patricia A
Credentials APRN/PCNS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Dec 22nd, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457446593 NPPES
Rhode Island Other 0000032309 RI BLUE CROSS PROVIDER #
Rhode Island Other 0000032309 RI BLUE CROSS PROVIDER #
Rhode Island Other 6228710 RI BLUE CROSS PROVIDER #
Rhode Island Other 413965 RI BLUE CROSS PROVIDER #

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