Provider Demographics
NPI:1740217835
Name:PATRICK, PATRICIA M (CRNP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:M
Last Name:PATRICK
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Gender:F
Credentials:CRNP
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Mailing Address - Street 1:104 PHEASANT RUN
Mailing Address - Street 2:SUITE 128
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-3439
Mailing Address - Country:US
Mailing Address - Phone:215-860-3344
Mailing Address - Fax:215-860-8950
Practice Address - Street 1:11 FRIENDS LN
Practice Address - Street 2:SUITE 103
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1885
Practice Address - Country:US
Practice Address - Phone:215-741-5600
Practice Address - Fax:215-702-9331
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2017-02-24
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Provider Licenses
StateLicense IDTaxonomies
PAVP003456P363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health