Healthcare Provider Details

I. General information

NPI: 1316950769
Provider Name (Legal Business Name): GLORIA A PATTON WHCNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2006
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1052 MAIN ST
WHEELING WV
26003-2702
US

IV. Provider business mailing address

1052 MAIN ST
WHEELING WV
26003-2702
US

V. Phone/Fax

Practice location:
  • Phone: 740-359-4684
  • Fax:
Mailing address:
  • Phone: 740-359-4684
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN45730
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPRNCNP022701
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: