Provider Demographics
NPI:1245000314
Name:PATTERSON, ERNESTINE
Entity type:Individual
Prefix:MS
First Name:ERNESTINE
Middle Name:
Last Name:PATTERSON
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 1:1539 SOUTHVIEW DR
Mailing Address - Street 2:
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-4036
Mailing Address - Country:US
Mailing Address - Phone:301-524-3136
Mailing Address - Fax:
Practice Address - Street 1:1539 SOUTHVIEW DR
Practice Address - Street 2:
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-4036
Practice Address - Country:US
Practice Address - Phone:301-524-3136
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator