Individual
MS. TRACY ANN PATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
140 LARKSPUR LN STE D, GALAX, VA 24333-2753
(276) 236-6341
Mailing address
374 E GRAYSON ST, HILLSVILLE, VA 24343-1417
(276) 237-1328
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002085172
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538208566
—
VA
Enumeration date
05/17/2021
Last updated
05/17/2021
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