Individual
MRS. TANGELA DENE PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
605 COLLEGE RD, GREENSBORO, NC 27410-4101
(866) 389-2727
Mailing address
PO BOX 20354, WINSTON SALEM, NC 27120-0354
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
200890
NC
363L00000X
Nurse Practitioner
Primary
5010675
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200890
FAMILY NURSE PRACITIONER
NC
Enumeration date
07/09/2018
Last updated
09/15/2024
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