Basic Information
Provider Information | |||||||||
NPI: | 1932231784 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | CURRIER | ||||||||
FirstName: | PATRICIA | ||||||||
MiddleName: |   | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: | JR. | ||||||||
Credential: | FNP | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | PO BOX 229 | ||||||||
Address2: |   | ||||||||
City: | WAKEFIELD | ||||||||
State: | RI | ||||||||
PostalCode: | 028800229 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 4017883337 | ||||||||
FaxNumber: | 4017883939 | ||||||||
Practice Location | |||||||||
Address1: | 100 KENYON AVE | ||||||||
Address2: |   | ||||||||
City: | WAKEFIELD | ||||||||
State: | RI | ||||||||
PostalCode: | 028794216 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 4017828000 | ||||||||
FaxNumber: | 4017836330 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 03/09/2007 | ||||||||
LastUpdateDate: | 08/11/2020 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: | 08/11/2020 |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | NPP37180 | RI | N |   | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 363L00000X | APRN11005166 | FL | Y |   | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |   |
ID Information
ID | Type | State | Issuer | Description | 939025129 | 01 | RI | RI MEDICARE GROUP NUMBER | OTHER | 1932231784 | 01 | RI | NPI | OTHER | 0713023 | 05 | MA |   | MEDICAID | 30338-1 | 01 | RI | BLUECHIP | OTHER | 410683 | 01 | RI | BCBSRI | OTHER | 09/13/2007 | 01 | RI | NHPRI | OTHER | 007059463 | 01 | RI | RI MEDICARE | OTHER | 1932231 | 05 | RI |   | MEDICAID | NPP37180 | 01 | RI | RI LICENSE | OTHER |