| Doctor Name: | ANGELA PATTERSON |
| NPI Number: | 1053400424 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 21574 |
| Business Practice Address: | 1 Cvs Dr Cvs Caremark / Minuteclinic Woonsocket, RI - 028956146 |
| Business Phone Number: | 6176947764 |
| Business Fax Number: | 4016529356 |
| Mailing Address: | 3587 Round Barn Blvd, #a304 SANTA ROSA |
| State: | CA |
| Postal Code: | 954035771 |
| Phone Number: | 6176947764 |
| Fax Number: | 4016529356 |
| NPI Enumeration Date: | 10/12/2006 |
| NPI Last Update Date: | 04/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 21574 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |