# PATRICIA ANN DETTENMEIER

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

## Provider details

- **NPI number:** 1861460180
- **Gender:** F
- **Credential:** MSN CS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC0200X | Critical Care Medicine Registered Nurse | 78947 | MO | Yes |
| 163WM0705X | Medical-Surgical Registered Nurse | 78947 | MO | — |
| 363LA2200X | Adult Health Nurse Practitioner | 78947 | MO | — |

## Other

- **Enumeration date:** 03/11/2006
- **Last updated:** 01/09/2008