Individual provider · Type 1 NPI

Charles Wayne McDonough

Psychiatric/Mental Health Nurse Practitioner · Richmond, VA

NPI number 1619540705 Active

Practice location

6714 Patterson Ave Ste 204
Richmond, VA 23226-3432

Call (804) 282-3387 Map

Mailing address

9212 Shady Grove Rd
Mechanicsville, VA 23116-2845

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X0024182163 (VA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1619540705

Charles Wayne McDonough's National Provider Identifier is 1619540705, issued on Jul 19, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Richmond, VA. The record was last updated on Jul 19, 2021.