Provider Demographics
NPI:1861543597
Name:MIAN, PATRICIA J (RN, APN-BC)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:J
Last Name:MIAN
Suffix:
Gender:F
Credentials:RN, APN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:591 NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01880-1647
Mailing Address - Country:US
Mailing Address - Phone:781-224-0661
Mailing Address - Fax:
Practice Address - Street 1:591 NORTH AVE
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:MA
Practice Address - Zip Code:01880-1647
Practice Address - Country:US
Practice Address - Phone:781-224-0661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA113800163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health