| NPI | 1770681595 |
|---|---|
| Former Name | PHYLLIS PATTEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP 4348) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9232460) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2019-03-04 |