Individual
MRS. PATRICIA E DENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CD
Contact information
Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 838-5495
Mailing address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 838-5495
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001863A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000720643
ANTHEM PROVIDER NUMBER
IN
Enumeration date
08/22/2008
Last updated
06/24/2013
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