Provider Demographics
NPI:1679225635
Name:PATTERSON, NORMA (CHES)
Entity Type:Individual
Prefix:
First Name:NORMA
Middle Name:
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:CHES
Other - Prefix:
Other - First Name:NORMA
Other - Middle Name:
Other - Last Name:BURCKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11116 MEDICAL CAMPUS RD STE 2950
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-6710
Mailing Address - Country:US
Mailing Address - Phone:301-790-8208
Mailing Address - Fax:301-790-9298
Practice Address - Street 1:11116 MEDICAL CAMPUS RD STE 2950
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-6710
Practice Address - Country:US
Practice Address - Phone:301-790-8208
Practice Address - Fax:301-790-9298
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-21
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator