Provider Demographics
NPI:1588978712
Name:CONTWAY, PATRICK DONALD (RN BSN)
Entity type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:DONALD
Last Name:CONTWAY
Suffix:
Gender:M
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:423 N CODY AVE
Mailing Address - Street 2:
Mailing Address - City:HARDIN
Mailing Address - State:MT
Mailing Address - Zip Code:59034-1712
Mailing Address - Country:US
Mailing Address - Phone:406-366-2478
Mailing Address - Fax:
Practice Address - Street 1:423 N CODY AVE
Practice Address - Street 2:
Practice Address - City:HARDIN
Practice Address - State:MT
Practice Address - Zip Code:59034-1712
Practice Address - Country:US
Practice Address - Phone:406-366-2478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-29
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDN-38725163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse