Healthcare Provider Details
I. General information
NPI: 1427227867
Provider Name (Legal Business Name): DEBORAH ANN PATTERSON ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/28/2008
Last Update Date: 02/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3425 1ST AVE SE STE 100
CEDAR RAPIDS IA
52402-6005
US
IV. Provider business mailing address
3425 1ST AVE SE STE 100
CEDAR RAPIDS IA
52402-6005
US
V. Phone/Fax
- Phone: 319-363-9000
- Fax: 319-297-7129
- Phone: 319-363-9000
- Fax: 319-297-7129
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LX0001X |
| Taxonomy | Obstetrics & Gynecology Nurse Practitioner |
| License Number | F-071990 |
| License Number State | IA |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: