Provider Demographics
NPI:1205814936
Name:MCDONALD, PATRICIA BLINN (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:BLINN
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:BLINN
Other - Last Name:GARNCARZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:REGISTERED NURSE
Mailing Address - Street 1:1439 GROVE ST
Mailing Address - Street 2:
Mailing Address - City:OSHKOSH
Mailing Address - State:WI
Mailing Address - Zip Code:54901-3128
Mailing Address - Country:US
Mailing Address - Phone:920-312-0670
Mailing Address - Fax:
Practice Address - Street 1:1439 GROVE ST
Practice Address - Street 2:
Practice Address - City:OSHKOSH
Practice Address - State:WI
Practice Address - Zip Code:54901-3128
Practice Address - Country:US
Practice Address - Phone:920-312-0670
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-03
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI163W00000X, 163WC0400X, 163WH0200X, 163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
No163W00000XNursing Service ProvidersRegistered Nurse
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WH0200XNursing Service ProvidersRegistered NurseHome Health