Provider Demographics
NPI:1891723060
Name:MCCUNE, PATRICK L (CRNA)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:L
Last Name:MCCUNE
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
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Mailing Address - Street 1:11391 BALSAM DR
Mailing Address - Street 2:
Mailing Address - City:MEADOWVIEW
Mailing Address - State:VA
Mailing Address - Zip Code:24361-4133
Mailing Address - Country:US
Mailing Address - Phone:276-676-7127
Mailing Address - Fax:276-676-9366
Practice Address - Street 1:351 COURT ST
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24210-2921
Practice Address - Country:US
Practice Address - Phone:276-676-7127
Practice Address - Fax:276-676-9366
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0001130839367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered