Provider Demographics
NPI:1801383526
Name:EPIE, PATRICIA N
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:N
Last Name:EPIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4558 BARNETT RD APT 224
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76310-4012
Mailing Address - Country:US
Mailing Address - Phone:469-236-7348
Mailing Address - Fax:
Practice Address - Street 1:4558 BARNETT RD APT 224
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76310-4012
Practice Address - Country:US
Practice Address - Phone:469-236-7348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-18
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX318729164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse