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Individual

MS. CATHERINE LYNNE PATRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
5130 SUNFOREST DR STE 300, TAMPA, FL 33634-6327
(727) 824-0780
(813) 514-8891
Mailing address
5130 SUNFOREST DR STE 300, TAMPA, FL 33634-6327
(727) 824-0780
(813) 514-8891

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
28153894A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9379029
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1021200000
FL
01
KU719
MEDICARE PIN
FL
Enumeration date
05/16/2013
Last updated
11/22/2021
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