Provider Demographics
NPI:1023019122
Name:PATTERSON, ANNE THERESA (PA-C)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:THERESA
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:ANNE
Other - Middle Name:PATTERSON
Other - Last Name:ARSENAULT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA-C
Mailing Address - Street 1:320 E NORTH AVE
Mailing Address - Street 2:ALLEGHENY THORACIC AND CARDIOVASCULAR ASSOCS
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-4756
Mailing Address - Country:US
Mailing Address - Phone:412-359-8820
Mailing Address - Fax:412-359-8222
Practice Address - Street 1:320 E NORTH AVE
Practice Address - Street 2:ALLEGHENY THORACIC AND CARDIOVASCULAR ASSOCS
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-4756
Practice Address - Country:US
Practice Address - Phone:412-359-8820
Practice Address - Fax:412-359-8222
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA003352L363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAQ09840Medicare UPIN
PA077035PNLMedicare PIN