Provider Demographics
NPI:1104700350
Name:KACHMAR, PATRICIA ANNE (MSN, FNP-BC, BSN, RN)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:ANNE
Last Name:KACHMAR
Suffix:
Gender:F
Credentials:MSN, FNP-BC, BSN, RN
Other - Prefix:MS
Other - First Name:TRISH
Other - Middle Name:ANNE
Other - Last Name:KACHMAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSN, FNP-BC, BSN, RN
Mailing Address - Street 1:3215 N CONNECTICUT AVE
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-3586
Mailing Address - Country:US
Mailing Address - Phone:586-944-4252
Mailing Address - Fax:
Practice Address - Street 1:3215 N CONNECTICUT AVE
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-3586
Practice Address - Country:US
Practice Address - Phone:586-944-4252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704319075363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner