Provider Demographics
NPI:1548576135
Name:PATTEN, LAURETTE LYNN (NP)
Entity Type:Individual
Prefix:
First Name:LAURETTE
Middle Name:LYNN
Last Name:PATTEN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:LAURETTE
Other - Middle Name:LYNN
Other - Last Name:DANIEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:280 CHESTNUT ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01199-1001
Mailing Address - Country:US
Mailing Address - Phone:413-794-5700
Mailing Address - Fax:
Practice Address - Street 1:21 DWIGHT ROAD
Practice Address - Street 2:
Practice Address - City:LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01106-1765
Practice Address - Country:US
Practice Address - Phone:413-795-4555
Practice Address - Fax:413-794-9448
Is Sole Proprietor?:No
Enumeration Date:2010-08-20
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH056546-23363LF0000X
MARN281834363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily