MEDICARE: DEBRA MICHELLE PATTERSON CASE MANAGER PARAPRO

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1801922471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBRA MICHELLE PATTERSON CASE MANAGER PARAPRO

Provider Business Mailing Address
First Line	:	PO BOX 2578
Second Line	:
City	:	BATESVILLE
State	:	AR
Zip	:	72503-2578
Country	:	US
Telephone Number	:	870-793-8900
Fax Number	:	870-793-8959

Provider Business Practice Location Address
First Line	:	724 N SPRING ST
Second Line	:
City	:	HARRISON
State	:	AR
Zip	:	72601-2913
Country	:	US
Telephone Number	:	870-793-8900
Fax Number	:	870-793-8959

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

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	05/29/2009

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