| Doctor Name: | DR. PAUL MICHAEL PATTERSON |
| NPI Number: | 1285639617 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.N.P. |
| License Number: | R148876 |
| Business Practice Address: | 115a La Grange Ave Suite 101 La Plata, MD - 206469597 |
| Business Phone Number: | 3013921935 |
| Business Fax Number: | 3013921936 |
| Mailing Address: | 115a La Grange Ave, Suite 101 LA PLATA |
| State: | MD |
| Postal Code: | 206469597 |
| Phone Number: | 3013921935 |
| Fax Number: | 3013921936 |
| NPI Enumeration Date: | 06/13/2005 |
| NPI Last Update Date: | 04/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R148876 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |