Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 4704244027 | MI |
N | 363LA2200X | Nurse Practitioner - Adult Health | 4704244027 | MI |
Y | 363LC1500X | Nurse Practitioner - Community Health | 4704244027 | MI |
NPI | 1619119898 |
---|---|
Provider Name | Kathryn Erin Patterson |
First Address | Ann Arbor, MI 48108-1633 |
Second Address | Ann Arbor, MI 48109-5000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2009 |
Last Update Date | 20/01/2020 |