Individual
DR. WANDA M PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11445 SUNSET HILLS RD, KAISER PERMANENTE RESTON MEDICAL CENTER, RESTON, VA 20190-5276
(703) 709-1550
(703) 709-1516
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101246626
VA
207N00000X
Dermatology Physician
D70346
MD
207N00000X
Dermatology Physician
MD038619
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2351569000
AMERIHEALTH
NJ
01
—
6234651
CIGNA
NJ
01
—
7565692
AETNA
NJ
Enumeration date
01/23/2006
Last updated
06/26/2021
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