Provider Demographics
NPI:1760512677
Name:MORIARTY, PATRICIA LYNNE (APRN)
Entity Type:Individual
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First Name:PATRICIA
Middle Name:LYNNE
Last Name:MORIARTY
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Gender:F
Credentials:APRN
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Mailing Address - Street 1:234 GLENBROOK ROAD
Mailing Address - Street 2:UNIVESITY OF CONNECTICUT STUDENT HEALTH SERVICES
Mailing Address - City:STORRS
Mailing Address - State:CT
Mailing Address - Zip Code:06269-2011
Mailing Address - Country:US
Mailing Address - Phone:860-486-4700
Mailing Address - Fax:860-486-0004
Practice Address - Street 1:234 GLENBROOK ROAD
Practice Address - Street 2:UNIT 2011 UNIVESITY OF CONNECTICUT STUDENT HEALTH SVCS
Practice Address - City:STORRS
Practice Address - State:CT
Practice Address - Zip Code:06269-2011
Practice Address - Country:US
Practice Address - Phone:860-486-4700
Practice Address - Fax:860-486-0004
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2012-12-27
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT003008363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner