Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LP0200X | Nurse Practitioner - Pediatrics | 382057 | NY |
Y | 363LP0200X | Nurse Practitioner - Pediatrics | AP60332127 | WA |
NPI | 1003081787 |
---|---|
Provider Name | Ms. Jennifer Patano |
First Address | Seattle, WA 98119-1542 |
Second Address | Seattle, WA 98105-3901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2008 |
Last Update Date | 23/07/2013 |