Provider Demographics
NPI:1700925138
Name:OGDEN, PATRICIA (RN MSN NPC)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:OGDEN
Suffix:
Gender:F
Credentials:RN MSN NPC
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:
Other - Last Name:OGDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1313 W CHICAGO AVE
Mailing Address - Street 2:
Mailing Address - City:EAST CHICAGO
Mailing Address - State:IN
Mailing Address - Zip Code:46312-3316
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1313 W CHICAGO AVE
Practice Address - Street 2:
Practice Address - City:EAST CHICAGO
Practice Address - State:IN
Practice Address - Zip Code:46312-3316
Practice Address - Country:US
Practice Address - Phone:219-354-8910
Practice Address - Fax:219-398-9695
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71013467363L00000X
IL309003074363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner