Provider Demographics
NPI:1417992769
Name:PATTEN, ALLEGRA (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLEGRA
Middle Name:
Last Name:PATTEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 501123
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63150-0001
Mailing Address - Country:US
Mailing Address - Phone:615-284-1400
Mailing Address - Fax:615-284-1535
Practice Address - Street 1:300 20TH AVE N
Practice Address - Street 2:7TH FLOOR
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2131
Practice Address - Country:US
Practice Address - Phone:615-284-1400
Practice Address - Fax:615-284-1535
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN277562084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3809877Medicaid
TN5698587OtherAETNA
TN130024216OtherRR MEDICARE
TN4018452OtherBLUE CROSS BLUE SHIELD
TN4018452OtherBLUE CROSS BLUE SHIELD
TN5698587OtherAETNA