Doctor Name: | DORIS D PATTON |
NPI Number: | 1003945445 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | 1046225 |
Business Practice Address: | 3701 Loop Rd Tuscaloosa, AL - 354045015 |
Business Phone Number: | 2055542000 |
Business Fax Number: | |
Mailing Address: | 3701 Loop Rd, TUSCALOOSA |
State: | AL |
Postal Code: | 354045015 |
Phone Number: | 2057922751 |
Fax Number: | |
NPI Enumeration Date: | 03/03/2007 |
NPI Last Update Date: | 11/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 1046225 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |