MEDICARE: ALISON PATTON 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
1	390200000X	Student in an Organized Health Care Education/Training Program	0001209506	VA

General Provider Information

NPI Number	:	1851795546
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISON PATTON RN

Provider Business Mailing Address
First Line	:	15827 VISTA DR
Second Line	:
City	:	MONTCLAIR
State	:	VA
Zip	:	22025-1808
Country	:	US
Telephone Number	:	661-305-8330
Fax Number	:

Provider Business Practice Location Address
First Line	:	15827 VISTA DR
Second Line	:
City	:	MONTCLAIR
State	:	VA
Zip	:	22025-1808
Country	:	US
Telephone Number	:	661-305-8330
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/09/2014
Last Update Date	:	10/09/2014

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