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NPI Code Detail

MEDICARE: NANCY PATTERSON RN

MEDICARE: NANCY PATTERSON RN
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
1163W00000XRegistered NurseRN9306918FL

General Provider Information

NPI Number : 1407159114
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY PATTERSON RN
Provider Business Mailing Address
First Line : 4422 E COLUMBUS DR
Second Line :
City : TAMPA
State : FL
Zip : 33605-3233
Country : US
Telephone Number : 813-384-4000
Fax Number :
Provider Business Practice Location Address
First Line : 4422 E COLUMBUS DR
Second Line :
City : TAMPA
State : FL
Zip : 33605-3233
Country : US
Telephone Number : 813-384-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2010
Last Update Date : 12/20/2010

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