Provider Demographics
NPI:1871563460
Name:MCDONALD, PATRICIA (WOMEN'S HEALTH NP/CE)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:WOMEN'S HEALTH NP/CE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4308 EVERGREEN LN STE F
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003
Mailing Address - Country:US
Mailing Address - Phone:703-658-8282
Mailing Address - Fax:703-658-8283
Practice Address - Street 1:4308 EVERGREEN LN STE F
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003
Practice Address - Country:US
Practice Address - Phone:703-658-8282
Practice Address - Fax:703-658-8283
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2018-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001279202163W00000X
VA0024176212363LW0102X, 367A00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife