Organization Name: | PATTON FAMILY HEALTH CENTER PLLC |
NPI Number: | 1124344932 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EMILY D PATTON (CEO) |
Mailing Address: | 116 N 1st St West Branch |
State: | IA US |
Postal Code: | 523589663 |
Phone Number: | 3196433462 |
Fax Number: | 3196433467 |
NPI Enumeration Date: | 04/19/2010 |
NPI Last Update Date: | 05/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A086807 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |