MEDICARE: NATALIE D PATTERSON R.D.

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
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1477282820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE D PATTERSON R.D.

Provider Business Mailing Address
First Line	:	3481 MEDER RD
Second Line	:
City	:	SHINGLE SPRINGS
State	:	CA
Zip	:	95682-8798
Country	:	US
Telephone Number	:	916-765-5807
Fax Number	:

Provider Business Practice Location Address
First Line	:	3581 PALMER DR STE 201
Second Line	:
City	:	CAMERON PARK
State	:	CA
Zip	:	95682-8237
Country	:	US
Telephone Number	:	530-626-2770
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2022
Last Update Date	:	06/09/2022

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