DR. PATRICIA CATHLEEN MCMULLEN CRNP PHD NPI 1740474162

NPI Information

NPI: 1740474162
Provider Name: DR. PATRICIA CATHLEEN MCMULLEN, CRNP, PHD
Classification: Registered Nurse - 163WW0101X
Entity Type: Individual

Specialization: Women's Health Care, Ambulatory

PECOS Registration: Yes

Address:
2401 BRANDERMILL BLVD
GAMBRILLS, MD
ZIP 21054
Phone: (410) 451-0076
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DR. Patricia Cathleen Mcmullen, CRNP, PHD is a women's health care and ambulatory registered nurse in Gambrills, MD with 30 years of experience. DR. Patricia Cathleen Mcmullen, CRNP, PHD NPI is 1740474162. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2401 BRANDERMILL BLVD
GAMBRILLS, MD
ZIP 21054-690
Phone: (410) 451-0076

The NPI 1740474162 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/29/2007 and was last updated on 12/3/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WW0101X	Registered Nurse	Women's Health Care, Ambulatory	RN1004832	DISTRICT OF COLUMBIA	No
2	163WW0101X	Registered Nurse	Women's Health Care, Ambulatory	R056995	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	91709001	OTHER		BCBS MD
2	81610003	OTHER		BCBS DC
3	131231Y5Z	MEDICARE PIN
4	91709002	OTHER		CAREFIRST
5	91709003	OTHER		BCBS
6	413558000	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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