Provider Demographics
NPI:1003905803
Name:MCLAUGHLIN, PATRICIA C (MSN/NP)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:C
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:MSN/NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1761 BEALL AVE
Mailing Address - Street 2:
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-2342
Mailing Address - Country:US
Mailing Address - Phone:330-263-8428
Mailing Address - Fax:330-263-8190
Practice Address - Street 1:2326 EAGLE PASS
Practice Address - Street 2:
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-5338
Practice Address - Country:US
Practice Address - Phone:330-262-2800
Practice Address - Fax:330-262-2807
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN186495363LA2200X
OHCOA-12061-NP363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA750466512AMedicaid
GA750466512AMedicaid
GA50BBKSSMedicare PIN