Provider Demographics
NPI:1740787084
Name:RAYMOND, PATRICIA JOELE (AGPCNP-BC)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:JOELE
Last Name:RAYMOND
Suffix:
Gender:F
Credentials:AGPCNP-BC
Other - Prefix:MRS
Other - First Name:PATRICIA
Other - Middle Name:JOELE
Other - Last Name:PERRIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AGPCNP-BC
Mailing Address - Street 1:4772 MONTEREY CT
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20602-5115
Mailing Address - Country:US
Mailing Address - Phone:301-785-3856
Mailing Address - Fax:
Practice Address - Street 1:4772 MONTEREY CT
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602-5115
Practice Address - Country:US
Practice Address - Phone:301-785-3856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-12
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR186507363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health