Individual
AMANDA CATHARINE PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(703) 209-3963
Mailing address
5511 QUEENSBERRY AVE, SPRINGFIELD, VA 22151-2414
(703) 209-3963
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001280975
VA
363LF0000X
Family Nurse Practitioner
0024190646
VA
363LF0000X
Family Nurse Practitioner
Primary
29253
SC
Other
Enumeration date
07/06/2024
Last updated
01/07/2025
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