Individual
PETRA PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN OWNER
Contact information
Practice address
7700 OLD BRANCH AVE, CLINTON, MD 20735-1628
(301) 856-7222
(301) 856-2786
Mailing address
7700 OLD BRANCH AVE, CLINTON, MD 20735-1628
(301) 856-7222
(301) 856-2786
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
R130430
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013313220
NPI FOR AN ORGANIZATION
—
Enumeration date
12/15/2014
Last updated
12/15/2014
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