Provider Demographics
NPI:1891034070
Name:DITTMAN, PATRICIA WELCH (PHD, MSN, RN, CDE)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:WELCH
Last Name:DITTMAN
Suffix:
Gender:F
Credentials:PHD, MSN, RN, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5995 NW 56TH CT
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-2730
Mailing Address - Country:US
Mailing Address - Phone:954-295-8989
Mailing Address - Fax:
Practice Address - Street 1:1650 OSCEOLA DR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-5038
Practice Address - Country:US
Practice Address - Phone:561-803-8880
Practice Address - Fax:877-409-1795
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-07
Last Update Date:2022-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 1242462163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator