Individual
KATHRYN GEORGE PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1717 N E STREET, STE 227, PENSACOLA, FL 32501
(850) 469-2356
Mailing address
3711 BONNER RD, PENSACOLA, FL 32503-4232
(601) 750-4423
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9488983
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9488983
FLORIDA BOARD OF NURSING
FL
Enumeration date
06/29/2018
Last updated
06/29/2018
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