Individual
BRESHA PATTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4200 ABERNATHY WAY, FORT PIERCE, FL 34947-1347
(772) 879-1112
Mailing address
2318 SW WYNNEWOOD ST, PORT ST LUCIE, FL 34953-2439
(772) 333-2001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11001383
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
11001383
FL
Other
Enumeration date
04/08/2019
Last updated
05/23/2024
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