Healthcare Provider Details

I. General information

NPI: 1134068018
Provider Name (Legal Business Name): ELIZABETH JUNE PATTERSON RRT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 N 91ST AVE
PHOENIX AZ
85037-4037
US

IV. Provider business mailing address

16139 N 87TH DR
PEORIA AZ
85382-3773
US

V. Phone/Fax

Practice location:
  • Phone: 623-303-2882
  • Fax:
Mailing address:
  • Phone: 623-340-7127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number454
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: