Provider Demographics
NPI:1164799862
Name:MCGARGILL, PATRICIA J (CNP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:J
Last Name:MCGARGILL
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 QUEEN STREET
Mailing Address - Street 2:FP#4
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01610-2473
Mailing Address - Country:US
Mailing Address - Phone:508-860-7900
Mailing Address - Fax:508-860-7973
Practice Address - Street 1:26 QUEEN STREET
Practice Address - Street 2:FP#4
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01610-2473
Practice Address - Country:US
Practice Address - Phone:508-860-7900
Practice Address - Fax:508-860-7973
Is Sole Proprietor?:No
Enumeration Date:2011-11-23
Last Update Date:2015-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERN54376163W00000X
MDCNP111104363LF0000X
MARN2274966363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse