Provider Demographics
NPI:1417598707
Name:PATRONESS, LLC
Entity Type:Organization
Organization Name:PATRONESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:KNAPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-813-5824
Mailing Address - Street 1:101 CREEKSIDE XING STE 1700
Mailing Address - Street 2:#244
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-1085
Mailing Address - Country:US
Mailing Address - Phone:615-813-5824
Mailing Address - Fax:
Practice Address - Street 1:4941 ALLISON ST STE 15&16
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-4407
Practice Address - Country:US
Practice Address - Phone:615-813-5824
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-08
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies