Patricia A Petitpas in Cranston - Addiction (substance Use Disorder)

Patricia A Petitpas - NPI 1457446593

Patricia A Petitpas is a Addiction (substance Use Disorder) in Cranston, Rhode Island. Patricia A Petitpas practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Patricia A Petitpas is 1457446593. The last update date is 2015-12-22.

Patricia A Petitpas's current location address is 900 Reservoir Ave, Cranston, Rhode Island. You can contact this provider via phone number 4019440194 and fax number 4019440196. The mailing address for Patricia A Petitpas is 900 Reservoir Ave, Cranston, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Name Patricia A Petitpas
Address 900 Reservoir Ave, Cranston, Rhode Island
Phone Number 4019440194
Fax Number 4019440196
Sole Proprietor N
Credentials APRN/PCNS

NPI Number Detail

NPI Number 1457446593
Provider Enumeration Date 2006-10-04
Last Updated Date 2015-12-22

Provider Mailing Address Detail

Address 900 Reservoir Ave
City Cranston
State Rhode Island (RI)
Post Code 29104453
Phone Number 4019440194
Fax Number 4019440196

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No LCDP00043
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
32309 RI RI BLUE CROSS PROVIDER #
32309 RI RI BC/BS PRVD.#
6228710 RI UNITED HEALTH
413965 RI RI BLUE CHIP PROVIDER #

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FAQs about Patricia A Petitpas

What is the unique 10-digit identification code issued to Patricia A Petitpas by the Centers for Medicare & Medicaid Services?

The Patricia A Petitpas has been assigned the NPI (National Provider Identifier) 1457446593 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Patricia A Petitpas is physically located?

The Patricia A Petitpas is situated at the following address: 900 Reservoir Ave, Cranston, RI 29104453.

What is Patricia A Petitpas's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Patricia A Petitpas is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.

On what date did Patricia A Petitpas receive its 1457446593 assignment from the Centers for Medicare & Medicaid Services?

The Patricia A Petitpas was assigned its 1457446593 on 2006-10-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Patricia A Petitpas most recently updated or refreshed?

The details pertaining to the Patricia A Petitpas, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-12-22.

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