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NPI Code Detail

MEDICARE: KARREN LEE PATTERSON ANP

MEDICARE: KARREN LEE PATTERSON ANP
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
1363L00000XNurse PractitionerNC

General Provider Information

NPI Number : 1366472789
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARREN LEE PATTERSON ANP
Provider Business Mailing Address
First Line : PO BOX 890195
Second Line :
City : CHARLOTTE
State : NC
Zip : 28289-0195
Country : US
Telephone Number : 336-547-1877
Fax Number :
Provider Business Practice Location Address
First Line : 940 GOLF HOUSE CT E
Second Line : COURT E
City : WHITSETT
State : NC
Zip : 27377-9296
Country : US
Telephone Number : 336-449-9848
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2006
Last Update Date : 07/08/2007

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