Individual
PAIGE PITTMAN PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2729 S HIGHWAY 65 82, LAKE VILLAGE, AR 71653-6136
(870) 265-9365
Mailing address
4813A E HIGHWAY 82, LAKE VILLAGE, AR 71653-6066
(662) 934-0513
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
A005410
AR
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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