Provider Demographics
NPI:1790043222
Name:CATHCART, PATRICIA J (FNP-BC)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:J
Last Name:CATHCART
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:236 ALEXANDRA DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-2837
Mailing Address - Country:US
Mailing Address - Phone:843-276-7604
Mailing Address - Fax:
Practice Address - Street 1:10325 DEWHURST
Practice Address - Street 2:
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035
Practice Address - Country:US
Practice Address - Phone:440-414-9260
Practice Address - Fax:440-365-8826
Is Sole Proprietor?:No
Enumeration Date:2012-05-03
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC17744363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner