Provider Demographics
NPI:1184934382
Name:PATSAROS, PATRICIA SUSAN (APN, C)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:SUSAN
Last Name:PATSAROS
Suffix:
Gender:F
Credentials:APN, C
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:SUSAN
Other - Last Name:PINTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 HAMILTON HEALTH PL
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-3542
Mailing Address - Country:US
Mailing Address - Phone:609-689-7151
Mailing Address - Fax:609-249-7514
Practice Address - Street 1:1 HAMILTON HEALTH PL
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690-3542
Practice Address - Country:US
Practice Address - Phone:609-689-7151
Practice Address - Fax:609-249-7514
Is Sole Proprietor?:No
Enumeration Date:2010-10-21
Last Update Date:2010-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00308000363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health