Doctor Name: | WANDA MICHELLE PATTERSON |
NPI Number: | 1316212764 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | 1-093146 |
Business Practice Address: | 44 Aliant Pkwy Alexander City, AL - 350103426 |
Business Phone Number: | 2562344131 |
Business Fax Number: | |
Mailing Address: | Po Box 789, ALEXANDER CITY |
State: | AL |
Postal Code: | 350110789 |
Phone Number: | 2567234413 |
Fax Number: | |
NPI Enumeration Date: | 03/19/2012 |
NPI Last Update Date: | 03/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1-093146 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |