Dr. Wanda M Patterson, M.D.
Dermatology in Reston, VA. Individual provider (NPI-1).
NPI number1255301412
StatusActive
Last updated in NPPESJun 26, 2021
Details
- NPI
- 1255301412
- Entity type
- Individual (NPI-1)
- Name
- Dr. Wanda M Patterson
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 23, 2006
- Certification date
- Jun 26, 2021
- Last updated
- Jun 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 0101246626 | VA | Yes |
| 207N00000X | Dermatology | D70346 | MD | |
| 207N00000X | Dermatology | MD038619 | DC |
Practice location
11445 Sunset Hills RdKaiser Permanente Reston Medical Center
Reston, VA 20190-5276
Phone 703-709-1550 · Fax 703-709-1516
Mailing address
2101 E Jefferson StKaiser Permanente Medicare Enrollment
Rockville, MD 20852-4908
Phone 301-816-2424
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