Healthcare Provider Details

I. General information

NPI: 1093303935
Provider Name (Legal Business Name): PATRYSHA ANN SWITZER REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2021
Last Update Date: 01/06/2021
Certification Date: 01/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 GOLDEN PINES RD
PERKINSTON MS
39573-5500
US

IV. Provider business mailing address

75 GOLDEN PINES RD
PERKINSTON MS
39573-5500
US

V. Phone/Fax

Practice location:
  • Phone: 228-669-8524
  • Fax:
Mailing address:
  • Phone: 228-669-8524
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number823148
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: