Individual
MRS. MISTY PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
5210 5TH ST W, LEHIGH ACRES, FL 33971-1003
(239) 822-5015
Mailing address
5210 5TH ST W, LEHIGH ACRES, FL 33971-1003
(239) 822-5015
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5194918
FL
Other
Enumeration date
04/21/2020
Last updated
04/25/2020
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