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Individual

MS. PATRICIA MAHER-MEDIUCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, APN, C

Contact information

Practice address
605 ROUTE 9 S STE 3, CAPE MAY COURT HOUSE, NJ 08210-2343
(609) 665-6242
(609) 463-9798
Mailing address
2 RABBIT RUN, CAPE MAY, NJ 08204-4423
(609) 463-9797
(609) 463-9798

Taxonomy

Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
26NC10613300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020538093
EMPLOYER IDENTIFICATION N
NJ
Enumeration date
06/18/2006
Last updated
06/28/2023
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