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NPI Code Detail

MEDICARE: MS. PATRICIA ANN MCKEE RN, MN, CPNP

MEDICARE: MS. PATRICIA ANN MCKEE RN, MN, CPNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse Practitioner177591 NP1151CA

General Provider Information

NPI Number : 1033102108
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PATRICIA ANN MCKEE RN, MN, CPNP
Provider Business Mailing Address
First Line : 10842 MATHER AVE
Second Line :
City : SUNLAND
State : CA
Zip : 91040-2562
Country : US
Telephone Number : 858-344-3347
Fax Number : 323-668-4029
Provider Business Practice Location Address
First Line : 4650 W SUNSET BLVD
Second Line : MS #96
City : LOS ANGELES
State : CA
Zip : 90027-6062
Country : US
Telephone Number : 323-669-4543
Fax Number : 323-668-4029
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2005
Last Update Date : 07/08/2007

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