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NPI Code Detail

MEDICARE: PATRICIA LETTAU NP

MEDICARE: PATRICIA LETTAU NP
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
1363L00000XNurse PractitionerSP022349PA
2363LA2200XAdult Health Nurse Practitioner0024180606VA

General Provider Information

NPI Number : 1932105475
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA LETTAU NP
Provider Business Mailing Address
First Line : 213 S JEFFERSON ST STE 1006
Second Line :
City : ROANOKE
State : VA
Zip : 24011-1713
Country : US
Telephone Number : 540-224-5372
Fax Number :
Provider Business Practice Location Address
First Line : 3 RIVERSIDE CIR
Second Line :
City : ROANOKE
State : VA
Zip : 24016-4955
Country : US
Telephone Number : 540-224-5170
Fax Number : 540-985-9418
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2005
Last Update Date : 06/09/2022

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Directions to “ PATRICIA LETTAU NP” Practice Location

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