Provider Demographics
NPI:1639456429
Name:PATTON, LENA J (RN)
Entity Type:Individual
Prefix:
First Name:LENA
Middle Name:J
Last Name:PATTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2915 SILVER MAPLE LN
Mailing Address - Street 2:
Mailing Address - City:POTEAU
Mailing Address - State:OK
Mailing Address - Zip Code:74953-8727
Mailing Address - Country:US
Mailing Address - Phone:918-658-2189
Mailing Address - Fax:918-658-2180
Practice Address - Street 1:21228 MEADOWBROOK LN
Practice Address - Street 2:
Practice Address - City:HOWE
Practice Address - State:OK
Practice Address - Zip Code:74940-2008
Practice Address - Country:US
Practice Address - Phone:918-658-2189
Practice Address - Fax:918-658-2180
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0044863163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult