Provider Demographics
NPI:1407567100
Name:PATTON, RATYNA
Entity Type:Individual
Prefix:
First Name:RATYNA
Middle Name:
Last Name:PATTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2743 MCKINLEY AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-7263
Mailing Address - Country:US
Mailing Address - Phone:513-793-8675
Mailing Address - Fax:
Practice Address - Street 1:2743 MCKINLEY AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-7263
Practice Address - Country:US
Practice Address - Phone:513-793-8675
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-13
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH910001900889Medicaid
OH110147103399Medicaid
OH319013723604Medicaid
OH103158555599Medicaid