Provider Demographics
NPI:1770863656
Name:PATTERSON, DARYL N (RN)
Entity Type:Individual
Prefix:MS
First Name:DARYL
Middle Name:N
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:DARYL
Other - Middle Name:N
Other - Last Name:PATTERSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BSN, CCM
Mailing Address - Street 1:303 S BROADWAY
Mailing Address - Street 2:321
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5413
Mailing Address - Country:US
Mailing Address - Phone:914-631-1611
Mailing Address - Fax:914-524-7661
Practice Address - Street 1:303 S BROADWAY
Practice Address - Street 2:321
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-5413
Practice Address - Country:US
Practice Address - Phone:914-631-1611
Practice Address - Fax:914-524-7661
Is Sole Proprietor?:No
Enumeration Date:2011-08-23
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY271214163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse