Provider Demographics
NPI:1972317899
Name:MCAFEE, ROD THOMAS (RN)
Entity type:Individual
Prefix:
First Name:ROD
Middle Name:THOMAS
Last Name:MCAFEE
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 THAMES ST APT 325
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21231-3519
Mailing Address - Country:US
Mailing Address - Phone:615-717-1001
Mailing Address - Fax:
Practice Address - Street 1:1900 THAMES ST APT 325
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21231-3519
Practice Address - Country:US
Practice Address - Phone:615-717-1001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR255388163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health