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NPI Code Detail

MEDICARE: BEVERLY G KNOTT PATTERSON FNP

MEDICARE: BEVERLY G KNOTT PATTERSON FNP
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
1363L00000XNurse Practitioner900269NC

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 : 1598737579
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEVERLY G KNOTT PATTERSON FNP
Provider Business Mailing Address
First Line : PO BOX 751803
Second Line :
City : CHARLOTTE
State : NC
Zip : 28275-1803
Country : US
Telephone Number : 336-878-2260
Fax Number : 336-878-2277
Provider Business Practice Location Address
First Line : 501 HICKORY BRANCH DR
Second Line :
City : GREENSBORO
State : NC
Zip : 27409-9601
Country : US
Telephone Number : 336-878-2260
Fax Number : 336-878-2277
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2006
Last Update Date : 03/07/2023

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