Individual
ANGELA PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 CVS DR, WOONSOCKET, RI 02895-6195
(617) 694-7764
(401) 652-9356
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6195
(617) 694-7764
(401) 652-9356
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
173274
MA
363LF0000X
Family Nurse Practitioner
21574
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0349810
—
MA
01
—
NP2467
BLUECROSS BLUESHIELD
MA
Enumeration date
10/12/2006
Last updated
04/26/2020
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