Healthcare Provider Details

I. General information

NPI: 1285377929
Provider Name (Legal Business Name): MARK E PATTERSON APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2022
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 N CRAIG ST STE B
PITTSBURGH PA
15213-1569
US

IV. Provider business mailing address

717 WATERBERRY CT
AVON LAKE OH
44012-2290
US

V. Phone/Fax

Practice location:
  • Phone: 610-892-3800
  • Fax: 484-468-1412
Mailing address:
  • Phone: 216-776-8202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0031063
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP029346
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: