Provider Demographics
NPI:1093957219
Name:SOLOMON, PATRICIA A (RN)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:A
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:
Other - Last Name:WEINGARTNER OR PAGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:10 SOUTH EUCLID AVE.
Mailing Address - Street 2:SUITE G
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63108-3808
Mailing Address - Country:US
Mailing Address - Phone:314-367-7711
Mailing Address - Fax:314-367-0177
Practice Address - Street 1:10 SOUTH EUCLID AVE.
Practice Address - Street 2:SUITE G
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108-3808
Practice Address - Country:US
Practice Address - Phone:314-367-7711
Practice Address - Fax:314-367-0177
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-02
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO072521163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse