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General NPI Number Information
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NPI Number | 1487212304
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Entity Type | Individual
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Provider Name | NICHOLA ANTOINETTE PATTON DNP, MBA, AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/05/2019
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 1309 COFFEEN AVE STE 12846
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City | SHERIDAN
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State | WY
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Zip | 82801-5777
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Country | US
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Telephone | 888-603-8008
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Fax | 866-782-6597
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Provider Business Mailing Address
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Address Line | 1309 COFFEEN AVE STE 12846
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City | SHERIDAN
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State | WY
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Zip | 82801-5777
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Country | US
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Telephone | 888-603-8008
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Fax | 866-782-6597
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 432981
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AC005119
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 309091
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5161577
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License Number State | ID
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 200630
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License Number State | ND
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Taxonomy #6
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 101.0136900
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License Number State | VT
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Taxonomy #7
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 3383482112
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License Number State | KS
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Taxonomy #8
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2530
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License Number State | FL
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Taxonomy #9
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0024190991
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License Number State | VA
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Taxonomy #10
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 80129
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License Number State | NM
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Taxonomy #11
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | H181233
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License Number State | IA
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Taxonomy #12
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5017749
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License Number State | NC
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Taxonomy #13
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 53749
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License Number State | WY
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Taxonomy #14
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 010174C
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License Number State | CO
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Taxonomy #15
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 14082107-4405
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License Number State | UT
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