# PATRICK MALTBA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1487034401
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 146N00000X | Basic Emergency Medical Technician | E3172772 | NULL | Yes |
| 172A00000X | Driver | — | NULL | — |
| 172V00000X | Community Health Worker | — | NULL | — |
| 174H00000X | Health Educator | — | NULL | — |
| 175T00000X | Peer Specialist | 2014-330-01 | NC | — |
| 374T00000X | Religious Nonmedical Nursing Personnel | — | NULL | — |
| 374U00000X | Home Health Aide | — | NULL | — |
| 376K00000X | Nurse's Aide | CNA314827 | FL | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | — |

## Other

- **Enumeration date:** 06/04/2015
- **Last updated:** 06/04/2015