Doctor Name: | MS. JENNIFER PATANO |
NPI Number: | 1003081787 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | 382057 |
Business Practice Address: | 4800 Sand Point Way Ne Ms O.7.720 Seattle, WA - 981053901 |
Business Phone Number: | 2069878949 |
Business Fax Number: | 2069878943 |
Mailing Address: | 636 W Nickerson St, Apt. 3 SEATTLE |
State: | WA |
Postal Code: | 981191542 |
Phone Number: | 9178586306 |
Fax Number: | |
NPI Enumeration Date: | 04/24/2008 |
NPI Last Update Date: | 07/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 382057 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |