Provider Demographics
NPI:1093303935
Name:SWITZER, PATRYSHA ANN (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:PATRYSHA
Middle Name:ANN
Last Name:SWITZER
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 1:75 GOLDEN PINES RD
Mailing Address - Street 2:
Mailing Address - City:PERKINSTON
Mailing Address - State:MS
Mailing Address - Zip Code:39573-5500
Mailing Address - Country:US
Mailing Address - Phone:228-669-8524
Mailing Address - Fax:
Practice Address - Street 1:75 GOLDEN PINES RD
Practice Address - Street 2:
Practice Address - City:PERKINSTON
Practice Address - State:MS
Practice Address - Zip Code:39573-5500
Practice Address - Country:US
Practice Address - Phone:228-669-8524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-06
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS823148163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse