Individual
ATHINA PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-1600
Mailing address
4430 MISSOUR AVE, FT LEONARD WOOD, MO 65473
(573) 596-1600
(573) 329-0852
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP021931
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14361858
CAQH
OH
01
—
CNP021931
NP LICENSE NUMBER
OH
Enumeration date
10/25/2016
Last updated
08/18/2022
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