Provider Demographics
NPI:1457528614
Name:PATTON, INGRID (APRN CNP CNS)
Entity Type:Individual
Prefix:
First Name:INGRID
Middle Name:
Last Name:PATTON
Suffix:
Gender:F
Credentials:APRN CNP CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000S WHEELING AVE 200
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-5656
Mailing Address - Country:US
Mailing Address - Phone:918-748-7854
Mailing Address - Fax:918-293-3116
Practice Address - Street 1:2000 S WHEELING AVE STE 200
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-5656
Practice Address - Country:US
Practice Address - Phone:918-748-7854
Practice Address - Fax:918-293-3116
Is Sole Proprietor?:No
Enumeration Date:2008-05-15
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK0080567364SC0200X
OK80567363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No364SC0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistCritical Care Medicine