Individual provider · NPI-1

Nancy Bragaw Patten

Technician/Technologist, Optician · Fort Myers, FL

NPI number1194952572
StatusActive
Last updated in NPPESMar 24, 2011

Details

NPI
1194952572
Entity type
Individual (NPI-1)
Name
Nancy Bragaw Patten
Sex
Female
Sole proprietor
No
Enumeration date
Jun 12, 2009
Last updated
Mar 24, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, OpticianDO5760FLYes

Practice location

4790 Barkley Cir Bldg C-103
Fort Myers, FL 33907-7543

Phone 239-936-8686 · Fax 239-936-2532

Mailing address

4790 Barkley Cir Bldg C-103
Fort Myers, FL 33907-7543

Phone 239-936-8686 · Fax 239-936-2532

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Technician/Technologist, Optician providers in Fort Myers, FL