Provider Demographics
NPI:1528548393
Name:STILTNER, PATSY LYNN
Entity Type:Individual
Prefix:
First Name:PATSY
Middle Name:LYNN
Last Name:STILTNER
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 1:10900 DUKE SNIDER CIR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79934-3203
Mailing Address - Country:US
Mailing Address - Phone:915-383-0099
Mailing Address - Fax:
Practice Address - Street 1:10900 DUKE SNIDER CIR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79934-3203
Practice Address - Country:US
Practice Address - Phone:915-383-0099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-20
Last Update Date:2018-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX680351163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse