NPI Code Details Logo

NPI 1619698362

NPI 1619698362 : NONA PATTON AGACNP : COLORADO SPRINGS, CO

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1619698362
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    NONA PATTON AGACNP
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/09/2022
-----------------------------------------------------
    Last Update Date     |    05/06/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2312 N NEVADA AVE STE 305 
-----------------------------------------------------
    City                 |    COLORADO SPRINGS
-----------------------------------------------------
    State                |    CO
-----------------------------------------------------
    Zip                  |    80907-5318
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    719-471-7064
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    519 HARRIET ST 
-----------------------------------------------------
    City                 |    EVANSVILLE
-----------------------------------------------------
    State                |    IN
-----------------------------------------------------
    Zip                  |    47710-1715
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    812-450-7720
-----------------------------------------------------
    Fax                  |    812-450-7730
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    163WC0200X
-----------------------------------------------------
    Taxonomy Name        |    Critical Care Medicine Registered Nurse
-----------------------------------------------------
    License Number       |    28182237A
-----------------------------------------------------
    License Number State |    IN
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    363L00000X
-----------------------------------------------------
    Taxonomy Name        |    Nurse Practitioner
-----------------------------------------------------
    License Number       |    71013968A
-----------------------------------------------------
    License Number State |    IN
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.