Provider Demographics
NPI:1780873950
Name:FLAMION, PATRICIA ANN (FNP)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ANN
Last Name:FLAMION
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:739 W SPRINGFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:GERALD
Mailing Address - State:MO
Mailing Address - Zip Code:63037-2135
Mailing Address - Country:US
Mailing Address - Phone:573-764-3311
Mailing Address - Fax:573-764-4362
Practice Address - Street 1:739 W SPRINGFIELD AVE
Practice Address - Street 2:
Practice Address - City:GERALD
Practice Address - State:MO
Practice Address - Zip Code:63037-2135
Practice Address - Country:US
Practice Address - Phone:573-764-3311
Practice Address - Fax:573-764-4362
Is Sole Proprietor?:No
Enumeration Date:2007-10-23
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO124254363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOP00835393OtherRAILROAD MEDICARE
MO1780873950Medicaid
MO143090005Medicare PIN
MO152810010Medicare PIN