Individual
MISTYDAWN PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMH-BC, RN
Contact information
Practice address
3961 S CRAMER CIR, BLOOMINGTON, IN 47403-8931
(812) 272-0525
Mailing address
3961 S CRAMER CIR, BLOOMINGTON, IN 47403-8931
(812) 272-0525
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
28270730A
IN
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
28270730A
IN
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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