Individual
GLORIA PATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
(901) 448-5893
(901) 448-5540
Mailing address
877 JEFFERSON AVE, ATTN: PROVIDER ENROLLMENT, MEMPHIS, TN 38103-2807
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
180388
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
21811
TN
Other
Enumeration date
09/01/2016
Last updated
09/22/2016
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