Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | COA-12061-NP | OH |
N | 363LA2200X | Nurse Practitioner - Adult Health | RN186495 | GA |
NPI | 1003905803 |
---|---|
Provider Name | Ms. Patricia C. Mclaughlin |
First Address | Wooster, OH 44691-2342 |
Second Address | Wooster, OH 44691-5338 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 19/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
750466512A | (05) | GA |
Q59660 | (02) | GA |