Provider Demographics
NPI:1386894707
Name:PATRICK, CINDY DIANE (APRN)
Entity type:Individual
Prefix:MS
First Name:CINDY
Middle Name:DIANE
Last Name:PATRICK
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:CINDY
Other - Middle Name:DIANE
Other - Last Name:FINLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PMHNP-BC
Mailing Address - Street 1:455 GREENBUSH RD
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-2034
Mailing Address - Country:US
Mailing Address - Phone:808-780-7845
Mailing Address - Fax:
Practice Address - Street 1:75 LAMBERT LIND HWY
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-1131
Practice Address - Country:US
Practice Address - Phone:401-681-4274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-22
Last Update Date:2018-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI40128163WP0808X
RIAPRN01905363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health