Provider Demographics
NPI:1013460724
Name:FLYNN, PATRICIA (RN)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:
Last Name:FLYNN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5021 RIVER RD
Mailing Address - Street 2:APT A
Mailing Address - City:LEICESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14481-9722
Mailing Address - Country:US
Mailing Address - Phone:585-689-9925
Mailing Address - Fax:
Practice Address - Street 1:5021 RIVER RD
Practice Address - Street 2:APT A
Practice Address - City:LEICESTER
Practice Address - State:NY
Practice Address - Zip Code:14481-9722
Practice Address - Country:US
Practice Address - Phone:585-689-9925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-28
Last Update Date:2016-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY690097163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse