Individual
CORTNIE L PATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1721 MAGNAVOX, FORT WAYNE, IN 46804-1537
(260) 748-3650
(260) 748-3651
Mailing address
7619 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4133
(260) 407-8000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28225685A
IN
363L00000X
Nurse Practitioner
Primary
71009770A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300035248
—
IN
Enumeration date
09/24/2019
Last updated
01/07/2022
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