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NPI Code Detail

MEDICARE: ELVA JOANNE PATTERSON FNP-C

MEDICARE: ELVA JOANNE PATTERSON FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner0991989-NPCO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366808073
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELVA JOANNE PATTERSON FNP-C
Provider Business Mailing Address
First Line : 3455 RINGSBY CT
Second Line : STE 105
City : DENVER
State : CO
Zip : 80216-4923
Country : US
Telephone Number : 303-280-0900
Fax Number : 303-280-3858
Provider Business Practice Location Address
First Line : 3455 RINGSBY CT
Second Line : STE 105
City : DENVER
State : CO
Zip : 80216-4923
Country : US
Telephone Number : 303-280-0900
Fax Number : 303-280-3858
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2016
Last Update Date : 10/06/2016

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