Provider Demographics
NPI:1699706572
Name:PRIESTLEY, PATRICIA C (CRNA)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:C
Last Name:PRIESTLEY
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 MAIN ST
Mailing Address - Street 2:UNIT B
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-3127
Mailing Address - Country:US
Mailing Address - Phone:508-775-5011
Mailing Address - Fax:508-776-4754
Practice Address - Street 1:27 PARK ST
Practice Address - Street 2:CAPE COD HOSPITAL, ANESTHESIA DEPT
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601
Practice Address - Country:US
Practice Address - Phone:508-771-1800
Practice Address - Fax:508-790-4674
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2009-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA120327367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NA0103Medicare ID - Type Unspecified