Provider Demographics
NPI:1932197738
Name:MCCUE, KATHLEEN FRANCES (DNP, CRNP, IBCLC)
Entity type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:FRANCES
Last Name:MCCUE
Suffix:
Gender:F
Credentials:DNP, CRNP, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4927 AUBURN AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-2641
Mailing Address - Country:US
Mailing Address - Phone:301-943-9293
Mailing Address - Fax:240-235-8327
Practice Address - Street 1:4927 AUBURN AVE STE 100
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-2641
Practice Address - Country:US
Practice Address - Phone:301-943-9293
Practice Address - Fax:240-235-8327
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-06
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR152250363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily