Provider Demographics
NPI:1114024643
Name:CUNNINGHAM-WARBURTON, PATRICIA A (APRN, PHD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:A
Last Name:CUNNINGHAM-WARBURTON
Suffix:
Gender:F
Credentials:APRN, PHD
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:A
Other - Last Name:WARBURTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1130 TEN ROD RD.
Mailing Address - Street 2:SUITE E204
Mailing Address - City:NORTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852
Mailing Address - Country:US
Mailing Address - Phone:401-294-9600
Mailing Address - Fax:401-295-7395
Practice Address - Street 1:1130 TEN ROD RD
Practice Address - Street 2:SUITE E204; THE MEADOWS
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852
Practice Address - Country:US
Practice Address - Phone:401-294-9600
Practice Address - Fax:401-295-7395
Is Sole Proprietor?:No
Enumeration Date:2006-09-19
Last Update Date:2017-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRN 13078163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI1114024643OtherUNITEDHEALTHCARE
RI1114024643OtherBLUE CROSS BLUE SHIELD OF RHODE ISLAND
RI1114024643OtherTRICARE NORTH/SOUTH
RI899003464Medicare UPIN
RI1114024643OtherTRICARE NORTH/SOUTH