Provider Demographics
NPI:1336338292
Name:MCKINNEY, PATRICIA LOUISE (APN)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:LOUISE
Last Name:MCKINNEY
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WIESBADEN ARMY HEALTH CLINIC
Mailing Address - Street 2:
Mailing Address - City:CMR 467 UNIT 29623
Mailing Address - State:APO, AE
Mailing Address - Zip Code:09096
Mailing Address - Country:DE
Mailing Address - Phone:49611-705-1750
Mailing Address - Fax:
Practice Address - Street 1:WIESBADEN ARMY HEALTH CLINIC
Practice Address - Street 2:
Practice Address - City:APO, AE
Practice Address - State:WIESBADEN
Practice Address - Zip Code:09096
Practice Address - Country:DE
Practice Address - Phone:49162-270-7776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-17
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA442200163WA2000X, 163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA442200OtherRN LICENSE