Doctor Name: | MS. PATRICIA MAHER-MEDIUCH |
NPI Number: | 1083659536 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, APN, C |
License Number: | 26NC10613300 |
Business Practice Address: | 4 Clermont Dr Cape May Court House, NJ - 082101157 |
Business Phone Number: | 6094639797 |
Business Fax Number: | 6094639798 |
Mailing Address: | 2 Rabbit Run, CAPE MAY |
State: | NJ |
Postal Code: | 082044423 |
Phone Number: | 6094639797 |
Fax Number: | 6094639798 |
NPI Enumeration Date: | 06/18/2006 |
NPI Last Update Date: | 07/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0809X |
License Number: | 26NC10613300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |