Provider Demographics
NPI:1609480748
Name:CLASS, PATRICIA RUTH (APRN, FNP)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:RUTH
Last Name:CLASS
Suffix:
Gender:F
Credentials:APRN, FNP
Other - Prefix:MISS
Other - First Name:PATRICIA
Other - Middle Name:RUTH
Other - Last Name:MALONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:9176 WHITE ASH DR
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-1734
Mailing Address - Country:US
Mailing Address - Phone:423-364-9089
Mailing Address - Fax:
Practice Address - Street 1:9176 WHITE ASH DR
Practice Address - Street 2:
Practice Address - City:OOLTEWAH
Practice Address - State:TN
Practice Address - Zip Code:37363-1734
Practice Address - Country:US
Practice Address - Phone:423-364-9089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-05
Last Update Date:2020-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000027936363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily