Provider Demographics
NPI:1073693255
Name:PATTERSON, DONNA LEE (PHD CRNP)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:LEE
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:PHD CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2250 BERKS RD
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-6026
Mailing Address - Country:US
Mailing Address - Phone:215-699-2099
Mailing Address - Fax:
Practice Address - Street 1:2701 BLAIR MILL RD
Practice Address - Street 2:SUITE 10
Practice Address - City:WILLOW GROVE
Practice Address - State:PA
Practice Address - Zip Code:19090-1041
Practice Address - Country:US
Practice Address - Phone:215-675-1234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATP004606D363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics