MEDICARE: SHAREN PATTERSON RND

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	163WP2201X	Ambulatory Care Registered Nurse	00031406	WA

General Provider Information

NPI Number	:	1780002667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAREN PATTERSON RND

Provider Business Mailing Address
First Line	:	8807 E KNOX AVE
Second Line	:
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99212-2315
Country	:	US
Telephone Number	:	509-481-7189
Fax Number	:	150-947-1346

Provider Business Practice Location Address
First Line	:	8807 E KNOX AVE
Second Line	:
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99212-2315
Country	:	US
Telephone Number	:	509-481-7189
Fax Number	:	150-947-1346

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

Provider Enumeration Date	:	03/28/2014
Last Update Date	:	03/28/2014

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Directions to “ SHAREN PATTERSON RND” Practice Location

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