Provider Demographics
NPI:1073755666
Name:MCGUCKIN, AISLING CLARE (APRN-BC, MSN, MPH)
Entity Type:Individual
Prefix:MISS
First Name:AISLING
Middle Name:CLARE
Last Name:MCGUCKIN
Suffix:
Gender:F
Credentials:APRN-BC, MSN, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1811 WOODLAWN DR
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21207-4008
Mailing Address - Country:US
Mailing Address - Phone:410-887-1332
Mailing Address - Fax:410-887-1386
Practice Address - Street 1:1811 WOODLAWN DR
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21207-4008
Practice Address - Country:US
Practice Address - Phone:410-887-1332
Practice Address - Fax:410-887-1386
Is Sole Proprietor?:No
Enumeration Date:2009-03-30
Last Update Date:2009-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR167002163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse