Provider Demographics
NPI:1619981677
Name:WAY, PATRICIA M (ANP)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:M
Last Name:WAY
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1220 PONTIAC AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-4456
Mailing Address - Country:US
Mailing Address - Phone:401-943-4660
Mailing Address - Fax:401-490-2021
Practice Address - Street 1:1220 PONTIAC AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-4456
Practice Address - Country:US
Practice Address - Phone:401-942-4660
Practice Address - Fax:401-490-2021
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RINP00042-T363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health