Individual
TAMMY J PATTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
7326 S STAPLES ST STE A, CORPUS CHRISTI, TX 78413-5509
(361) 993-0188
Mailing address
4309 LAVACA RIVER CT, CORPUS CHRISTI, TX 78410-5677
(361) 548-0105
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
571896
TX
Other
Enumeration date
01/10/2013
Last updated
01/10/2013
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