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NPI Code Detail

MEDICARE: MRS. BRITTNEY RAFFIAL PATTERSON-DAVIS FNP

MEDICARE: MRS. BRITTNEY RAFFIAL PATTERSON-DAVIS FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP07110LA

General Provider Information

NPI Number : 1205170297
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BRITTNEY RAFFIAL PATTERSON-DAVIS FNP
Provider Business Mailing Address
First Line : 500 PATTERSON STREET
Second Line :
City : LAFAYETTE
State : LA
Zip : 70501
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 500 PATTERSON ST
Second Line :
City : LAFAYETTE
State : LA
Zip : 70501-1849
Country : US
Telephone Number : 337-769-9451
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2012
Last Update Date : 12/06/2013

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Directions to “ MRS. BRITTNEY RAFFIAL PATTERSON-DAVIS FNP” Practice Location

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