Individual
NANCY ELIZABETH PATCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
1100 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1909
(570) 320-7680
Mailing address
1201 GRAMPIAN BLVD, SUITE 1K, WILLIAMSPORT, PA 17701-1900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN274548L
PA
163WH1000X
Hospice Registered Nurse
RN274548L
PA
364S00000X
Clinical Nurse Specialist
Primary
RN274548L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017738530001
—
PA
01
—
1919679
HIGHMARK BLUE SHIELD
PA
01
—
499690
HEALTHAMERICA
PA
Enumeration date
10/26/2006
Last updated
10/21/2011
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