MEDICARE: MS. PATRICIA ANNE KACHMAR MSN, FNP-BC, BSN, RN

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
1	363L00000X	Nurse Practitioner	4704319075	MI

General Provider Information

NPI Number	:	1104700350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PATRICIA ANNE KACHMAR MSN, FNP-BC, BSN, RN

Provider Business Mailing Address
First Line	:	3215 N CONNECTICUT AVE
Second Line	:
City	:	ROYAL OAK
State	:	MI
Zip	:	48073-3586
Country	:	US
Telephone Number	:	586-944-4252
Fax Number	:

Provider Business Practice Location Address
First Line	:	3215 N CONNECTICUT AVE
Second Line	:
City	:	ROYAL OAK
State	:	MI
Zip	:	48073-3586
Country	:	US
Telephone Number	:	586-944-4252
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2025
Last Update Date	:	08/01/2025

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