Provider Demographics
NPI:1023452497
Name:PATTERSON, NICHOLA KARMA (RN)
Entity type:Individual
Prefix:MS
First Name:NICHOLA
Middle Name:KARMA
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 CARL DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95066-4807
Mailing Address - Country:US
Mailing Address - Phone:831-241-1654
Mailing Address - Fax:
Practice Address - Street 1:11099 SANCHEZ ST APT A
Practice Address - Street 2:
Practice Address - City:CASTROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95012-2571
Practice Address - Country:US
Practice Address - Phone:831-633-2901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-29
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA797717163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse