Provider Demographics
NPI:1376880765
Name:PATINKA, BRITTANY MICHELLE (LPN)
Entity Type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:MICHELLE
Last Name:PATINKA
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 BURNT HILL RD
Mailing Address - Street 2:
Mailing Address - City:CADYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12918-2004
Mailing Address - Country:US
Mailing Address - Phone:518-593-9765
Mailing Address - Fax:
Practice Address - Street 1:226 BURNT HILL RD
Practice Address - Street 2:
Practice Address - City:CADYVILLE
Practice Address - State:NY
Practice Address - Zip Code:12918-2004
Practice Address - Country:US
Practice Address - Phone:518-593-9765
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-07
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY307947-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse