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NPI Code Detail

MEDICARE: DARIK J PATTERSON RN

MEDICARE: DARIK J PATTERSON RN
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
1367500000XCertified Registered Nurse Anesthetist0024193768VA
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1750153920
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARIK J PATTERSON RN
Provider Business Mailing Address
First Line : 1881 UNIVERSITY DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23453-8001
Country : US
Telephone Number : 757-646-1633
Fax Number :
Provider Business Practice Location Address
First Line : 1881 UNIVERSITY DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23453-8083
Country : US
Telephone Number : 757-683-4297
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2023
Last Update Date : 03/03/2026

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