Carla B Patterson, RN
Registered Nurse, Emergency in Gallup, NM. Individual provider (NPI-1).
NPI number1659972073
StatusActive
Last updated in NPPESNov 3, 2020
Details
- NPI
- 1659972073
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Carla B Patterson
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 3, 2020
- Certification date
- Nov 3, 2020
- Last updated
- Nov 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WE0003X | Registered Nurse, Emergency | 689955 | NY | Yes |
Practice location
516 E Nizhoni BlvdGallup, NM 87301-5748
Phone 505-722-1000
Mailing address
Po Box 31Bridgewater, NY 13313-0031
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