Individual
MRS. PATRICIA A PETITPAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN/PCNS
Contact information
Practice address
900 RESERVOIR AVE, CRANSTON, RI 02910-4453
(401) 944-0194
(401) 944-0196
Mailing address
60 METROPOLITAN DRIVE, WARWICK, RI 02886-7922
(401) 738-1820
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDP00043
RI
163W00000X
Registered Nurse
RN22224
RI
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
LCDP00043
RI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN22224
RI
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
PPNS00064
RI
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
PPNS00064
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000032309
RI BLUE CROSS PROVIDER #
RI
01
—
413965
RI BLUE CHIP PROVIDER #
RI
01
—
6228710
UNITED HEALTH
RI
Enumeration date
10/04/2006
Last updated
12/22/2015
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