Provider Demographics
NPI:1558429787
Name:PATTERSON, CAROLYN SPENCE (RN)
Entity Type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:SPENCE
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:4301 MOW-WAY ROAD
Mailing Address - Street 2:REYNOLDS ARMY COMMUNITY HOSPITAL (ATTN MS PRESCOTT)
Mailing Address - City:FORT SILL
Mailing Address - State:OK
Mailing Address - Zip Code:73503-6300
Mailing Address - Country:US
Mailing Address - Phone:580-458-2134
Mailing Address - Fax:580-458-2314
Practice Address - Street 1:4301 MOW-WAY ROAD
Practice Address - Street 2:REYNOLDS ARMY COMMUNITY HOSPITAL (ATTN MS PRESCOTT)
Practice Address - City:FORT SILL
Practice Address - State:OK
Practice Address - Zip Code:73503-6300
Practice Address - Country:US
Practice Address - Phone:580-458-2134
Practice Address - Fax:580-458-2314
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OKR0042947163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse