Fradley, Patricia Mccaughan
Fradley, Patricia Mccaughan is an sole proprietor health care provider with primary practice located at 7300 Sunshine Skyway Ln S Apt 109 , St Petersburg FL 33711-4976. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Fradley, Patricia Mccaughan can be contacted via phone (727) 906-9253.Contact Information
Primary practice address
7300 Sunshine Skyway Ln S Apt 109
St Petersburg FL 33711-4976
Phone: (727) 906-9253
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | ARNP 455492 | Florida |
Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | ARNP455492 | Florida |
Profile Details
NPI number | 1851500425 |
---|---|
LBN Legal business name | Fradley, Patricia Mccaughan |
Credentials | A.R.N.P |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 21st, 2007 |
Last updated | Jun 25th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1851500425 | NPPES |
Florida | MEDICAID | 762225200 |
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