Doctor Name: | DR. DONNA LEE PATTERSON |
NPI Number: | 1073693255 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD CRNP |
License Number: | TP004606D |
Business Practice Address: | 2701 Blair Mill Rd Suite 10 Willow Grove, PA - 190901041 |
Business Phone Number: | 2156751234 |
Business Fax Number: | |
Mailing Address: | 2250 Berks Rd, LANSDALE |
State: | PA |
Postal Code: | 194466026 |
Phone Number: | 2156992099 |
Fax Number: | |
NPI Enumeration Date: | 10/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | TP004606D |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |