Provider Demographics
NPI:1124054408
Name:YOURCHOCK ORR, PATRICIA FRANCES (PMHNP)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:FRANCES
Last Name:YOURCHOCK ORR
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31904 HENNEPIN ST
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48135-1450
Mailing Address - Country:US
Mailing Address - Phone:734-444-5554
Mailing Address - Fax:
Practice Address - Street 1:2505 S WAYNE RD
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48186-5431
Practice Address - Country:US
Practice Address - Phone:734-444-5554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP1118363LP0808X
MI4704114622363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health