Provider Demographics
NPI:1861447831
Name:LONGWAY, CYNTHIA POMINVILLE (APRN CNS)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:POMINVILLE
Last Name:LONGWAY
Suffix:
Gender:F
Credentials:APRN CNS
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:140 LAKE DR
Mailing Address - Street 2:
Mailing Address - City:WEST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02817-1563
Mailing Address - Country:US
Mailing Address - Phone:401-338-3782
Mailing Address - Fax:401-397-3488
Practice Address - Street 1:828 TOLL GATE RD
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-2721
Practice Address - Country:US
Practice Address - Phone:401-385-3936
Practice Address - Fax:401-397-3488
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-24
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAPRN00031163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIS44847Medicare UPIN
RI8990235932Medicare ID - Type Unspecified