Provider Demographics
NPI:1962597336
Name:MOTTINGER, BARBARA C (MSN, RN, PCNS)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:C
Last Name:MOTTINGER
Suffix:
Gender:F
Credentials:MSN, RN, PCNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 LAUREL RIDGE LANE
Mailing Address - Street 2:
Mailing Address - City:NORTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852
Mailing Address - Country:US
Mailing Address - Phone:491-295-4949
Mailing Address - Fax:
Practice Address - Street 1:1130 TEN ROD ROAD
Practice Address - Street 2:SUITE E-302
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852
Practice Address - Country:US
Practice Address - Phone:401-667-7079
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPPNS00010363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health