Provider Demographics
NPI:1326213307
Name:MCGAFFIN, MARY KATHLEEN (CRNP)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:KATHLEEN
Last Name:MCGAFFIN
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Gender:F
Credentials:CRNP
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Mailing Address - Street 1:8763 REDONDO WAY
Mailing Address - Street 2:
Mailing Address - City:JESSUP
Mailing Address - State:MD
Mailing Address - Zip Code:20794-9343
Mailing Address - Country:US
Mailing Address - Phone:301-725-6868
Mailing Address - Fax:301-864-5057
Practice Address - Street 1:7305 BALTIMORE AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20740-3234
Practice Address - Country:US
Practice Address - Phone:301-864-2100
Practice Address - Fax:301-864-5057
Is Sole Proprietor?:No
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDR068203363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology