Provider Demographics
NPI:1588710479
Name:MCKINLEY, PATRICIA ANNE (CRNFA)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANNE
Last Name:MCKINLEY
Suffix:
Gender:F
Credentials:CRNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14507 ANCHOR LN
Mailing Address - Street 2:
Mailing Address - City:BOYDS
Mailing Address - State:MD
Mailing Address - Zip Code:20841-4007
Mailing Address - Country:US
Mailing Address - Phone:301-675-1892
Mailing Address - Fax:301-528-7318
Practice Address - Street 1:14507 ANCHOR LN
Practice Address - Street 2:
Practice Address - City:BOYDS
Practice Address - State:MD
Practice Address - Zip Code:20841-4007
Practice Address - Country:US
Practice Address - Phone:301-675-1892
Practice Address - Fax:301-528-7318
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2014-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR098895163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant