Provider Demographics
NPI:1093870206
Name:SCANE, PATRICIA (CNM)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:
Last Name:SCANE
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30055 NORTHWESTERN HWY
Mailing Address - Street 2:SUITE 230
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3230
Mailing Address - Country:US
Mailing Address - Phone:248-538-8800
Mailing Address - Fax:248-538-5226
Practice Address - Street 1:30055 NORTHWESTERN HWY
Practice Address - Street 2:SUITE 230
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-3230
Practice Address - Country:US
Practice Address - Phone:248-538-8800
Practice Address - Fax:248-538-5226
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704184315367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife