Provider Demographics
NPI:1386258770
Name:MUCHINA, PATRICK MAINA (APRN, FNP-C)
Entity type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:MAINA
Last Name:MUCHINA
Suffix:
Gender:M
Credentials:APRN, FNP-C
Other - Prefix:
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Mailing Address - Street 1:12616 W 62ND TER STE 112
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66216-1863
Mailing Address - Country:US
Mailing Address - Phone:913-225-9783
Mailing Address - Fax:913-215-9358
Practice Address - Street 1:12616 W 62ND TER STE 112
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66216-1863
Practice Address - Country:US
Practice Address - Phone:913-225-9783
Practice Address - Fax:913-215-9358
Is Sole Proprietor?:No
Enumeration Date:2020-09-02
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS79500363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily