# MRS. PATRICIA RYAN ALTIMORE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1316028079
- **Gender:** F
- **Credential:** CRNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | VP004531G | PA | Yes |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 01/18/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1559928 | GATEWAY-WMG | PA |
| 01 | — | 1925507 | HIGHMARK BLUE SHIELD | PA |
| 01 | — | 210096 | JOHNS HOPKINS | PA |
| 01 | — | 50065459 | CAPITAL BLUE CROSS-WMG | PA |
| 01 | — | 894728 | CAREFIRST MD BCBS | MD |