Individual
MR. NICHOLAS CHARLES PATIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1214 COOLIDGE BLVD, LAFAYETTE, LA 70503-2621
(337) 289-7991
Mailing address
PO BOX 1123, 255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(800) 242-1131
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN107416
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011312
—
LA
Enumeration date
06/11/2007
Last updated
05/01/2008
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