Individual
PATRICIA MICHELLE PATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 N MORRISON RD, MUNCIE, IN 47304-6043
(765) 808-5650
Mailing address
400 S BITTERSWEET LN, MUNCIE, IN 47304-4208
(765) 808-5650
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27050869A
IN
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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