Provider Demographics
NPI:1821094111
Name:PATTERSON, ANGELA SITZ (APN)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:SITZ
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:APN
Other - Prefix:MRS
Other - First Name:ANGELA
Other - Middle Name:SITZ
Other - Last Name:LADD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 299
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:TN
Mailing Address - Zip Code:37349-0299
Mailing Address - Country:US
Mailing Address - Phone:931-728-5607
Mailing Address - Fax:931-728-8354
Practice Address - Street 1:2345 MURFREESBORO HWY
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:TN
Practice Address - Zip Code:37355-3206
Practice Address - Country:US
Practice Address - Phone:931-728-5607
Practice Address - Fax:931-728-8354
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7706363LF0000X
TNAPN7706363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3726350Medicaid
TN3909523OtherMEDICARE ID
TN3726350Medicaid
TN3909523OtherMEDICARE ID