Individual
KATELYN PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5000
Mailing address
10305 CREPE JASMINE LN, FORT MYERS, FL 33913-8877
(239) 791-6868
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
091879-23
NH
367500000X
Certified Registered Nurse Anesthetist
XXXXXXX
FL
Other
Enumeration date
05/09/2023
Last updated
07/18/2023
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