Provider Demographics
NPI:1447446885
Name:RAWLINS, PATRICIA ANNETTE (LICENSED PRACTICAL N)
Entity type:Individual
Prefix:MISS
First Name:PATRICIA
Middle Name:ANNETTE
Last Name:RAWLINS
Suffix:
Gender:F
Credentials:LICENSED PRACTICAL N
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:
Other - Last Name:TYNDALE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2 WILBUR BLVD
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603
Mailing Address - Country:US
Mailing Address - Phone:914-204-2804
Mailing Address - Fax:914-576-6157
Practice Address - Street 1:51 FRENCH RIDGE
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801
Practice Address - Country:US
Practice Address - Phone:914-204-2804
Practice Address - Fax:914-576-6157
Is Sole Proprietor?:No
Enumeration Date:2007-09-19
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1641491164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse