Provider Demographics
NPI:1700830312
Name:NANCE, PATRICIA WILSON (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:WILSON
Last Name:NANCE
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Gender:F
Credentials:MD
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Mailing Address - Street 1:5901 E 7TH ST
Mailing Address - Street 2:LONG BEACH VA HEALTHCARE SYSTEM
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90822-5201
Mailing Address - Country:US
Mailing Address - Phone:562-826-8000
Mailing Address - Fax:562-826-5635
Practice Address - Street 1:5901 E 7TH ST
Practice Address - Street 2:VA LONG BEACH HEALTHCARE SYSTEM, 10/117
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90822-5201
Practice Address - Country:US
Practice Address - Phone:562-826-8000
Practice Address - Fax:562-826-5635
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2012-02-16
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Provider Licenses
StateLicense IDTaxonomies
CAG858562081P0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P0004XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSpinal Cord Injury Medicine