Provider Demographics
NPI:1932279742
Name:MURDOCH, PATRICIA W (NP)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:W
Last Name:MURDOCH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 CENTERVILLE RD
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-4486
Mailing Address - Country:US
Mailing Address - Phone:401-773-7220
Mailing Address - Fax:401-773-7220
Practice Address - Street 1:535 CENTERVILLE RD
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-4486
Practice Address - Country:US
Practice Address - Phone:401-773-7220
Practice Address - Fax:401-773-7221
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209003725363LA2100X
RIAPRN03018363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL208905145Medicare PIN
P65129Medicare UPIN
ILK14643Medicare PIN
ILR01082Medicare PIN