Doctor Name: | DEANNA JEAN PATTERSON |
NPI Number: | 1295947976 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | F332394-1 |
Business Practice Address: | Usa Meddac, Rwbahc 2240 Winrow Ave Fort Huachuca, AZ - 85613 |
Business Phone Number: | 5205335055 |
Business Fax Number: | |
Mailing Address: | 2122 Mount Hope Rd, SANBORN |
State: | NY |
Postal Code: | 141329009 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F332394-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |