Individual
MRS. APRIL L PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
866 EDENRIDGE DR, BOARDMAN, OH 44512-3127
(330) 518-9579
Mailing address
866 EDENRIDGE DR, BOARDMAN, OH 44512-3127
(330) 518-9579
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN306243
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000594658
ANTHEM
OH
05
—
2912781
—
OH
01
—
8243902
MEDICARE PTAN
OH
01
—
P00728515
MEDICARE RAILROAD
OH
Enumeration date
02/07/2008
Last updated
08/01/2013
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