Provider Demographics
NPI:1407178726
Name:OAKES, PATRICIA LYNN (LPN)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:LYNN
Last Name:OAKES
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 1:8089 YAGER RD
Mailing Address - Street 2:
Mailing Address - City:BLOSSVALE
Mailing Address - State:NY
Mailing Address - Zip Code:13308-2927
Mailing Address - Country:US
Mailing Address - Phone:315-240-7159
Mailing Address - Fax:
Practice Address - Street 1:8089 YAGER RD
Practice Address - Street 2:
Practice Address - City:BLOSSVALE
Practice Address - State:NY
Practice Address - Zip Code:13308-2927
Practice Address - Country:US
Practice Address - Phone:315-240-7159
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-01
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY276241-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse