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Individual

LEEANN K. PATTERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
7980 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4170
(260) 478-5220
(260) 458-3539
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 479-3516
(260) 479-3520

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71001386A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200399620
IN
Enumeration date
03/09/2006
Last updated
10/14/2020
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