Individual
MS. MARY NELL PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 688-3500
Mailing address
1405 W 4TH ST, GILLETTE, WY 82716-3327
(307) 688-2626
(307) 685-3079
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
151
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
239215
CIGNA HEALTHCARE PROVIDER
NC
Enumeration date
04/11/2006
Last updated
01/18/2013
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