Provider Demographics
NPI:1801127204
Name:PATTERSON, TRINEISHA KEYONNA (RN)
Entity type:Individual
Prefix:MRS
First Name:TRINEISHA
Middle Name:KEYONNA
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 E PARKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45405-3468
Mailing Address - Country:US
Mailing Address - Phone:937-838-9327
Mailing Address - Fax:
Practice Address - Street 1:71 MARY AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45405-3838
Practice Address - Country:US
Practice Address - Phone:937-835-3829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-25
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN355271163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse