Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 1046225 | AL |
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 1046225 | AL |
NPI | 1003945445 |
---|---|
Provider Name | Doris D Patton |
First Address | Tuscaloosa, AL 35404-5015 |
Second Address | Tuscaloosa, AL 35404-5015 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2007 |
Last Update Date | 20/11/2012 |