# MS. PATRICIA A MAHATHATH

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1790189272
- **Gender:** F
- **Credential:** PMHNP, FNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | 2014036363 | MO | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 2023153247 | MO | Yes |

## Other

- **Enumeration date:** 10/13/2014
- **Last updated:** 08/29/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1790189272 | — | MO |
| 05 | — | ENROLLED | — | IL |