Provider Demographics
NPI:1043753122
Name:LITTLE, PATSY (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:PATSY
Middle Name:
Last Name:LITTLE
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7053 LOTT ROAD
Mailing Address - Street 2:
Mailing Address - City:SEMMES
Mailing Address - State:AL
Mailing Address - Zip Code:36575
Mailing Address - Country:US
Mailing Address - Phone:251-604-2631
Mailing Address - Fax:
Practice Address - Street 1:7053 LOTT RD
Practice Address - Street 2:
Practice Address - City:SEMMES
Practice Address - State:AL
Practice Address - Zip Code:36575-8757
Practice Address - Country:US
Practice Address - Phone:251-604-2631
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-22
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-057168374T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374T00000XNursing Service Related ProvidersReligious Nonmedical Nursing Personnel