Individual
CAROLYN YVONNE PATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
23121 RADCLIFT ST, OAK PARK, MI 48237-2478
(313) 333-9724
Mailing address
23121 RADCLIFT ST, OAK PARK, MI 48237-2478
(313) 333-9724
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704244541
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704244541
STATE OF MICHIGAN
MI
Enumeration date
10/01/2013
Last updated
10/01/2013
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