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NPI Code Detail

MEDICARE: MRS. ANGELA SITZ PATTERSON APN

MEDICARE: MRS. ANGELA SITZ PATTERSON APN
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
1363LF0000XFamily Nurse Practitioner7706TN
2363LF0000XFamily Nurse PractitionerAPN7706TN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
23909523OTHERTNMEDICARE ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821094111
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANGELA SITZ PATTERSON APN
Provider Business Mailing Address
First Line : PO BOX 299
Second Line :
City : MANCHESTER
State : TN
Zip : 37349-0299
Country : US
Telephone Number : 931-728-5607
Fax Number : 931-728-8354
Provider Business Practice Location Address
First Line : 2345 MURFREESBORO HWY
Second Line :
City : MANCHESTER
State : TN
Zip : 37355-3206
Country : US
Telephone Number : 931-728-5607
Fax Number : 931-728-8354
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 03/31/2023

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