Individual
MRS. PAMELA JEAN PATNODE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 520-4800
(763) 520-1587
Mailing address
10984 AMEN CT NE, BLAINE, MN 55449-5496
(763) 571-1108
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R 071833-4
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R 071833-4
REGISTERED NURSE LISCENSE
MN
Enumeration date
03/18/2006
Last updated
07/08/2007
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