Paige Pattillo
Nurse Practitioner - Primary Care Nurse Practitioner - Family Medicine
9900 Bren Rd E
Minnetonka
, Minnesota 55343-9664
Paige Pattillo
Nurse Practitioner - Primary Care Nurse Practitioner - Family Medicine
9900 Bren Rd E
Minnetonka
, Minnesota 55343-9664
(541) 841-6132
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Paige Pattillo
- 1625 Camp Baker Rd
- Medford, OR
- Zip : 97501-9605
- Phone : (541) 841-6132
Second Address
- Paige Pattillo
- 9900 Bren Rd E
- Minnetonka, MN
- Zip : 55343-9664
- Phone : (205) 936-1386
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FAQs
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Is Paige Pattillo accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LF0000X | Nurse Practitioner - Family Medicine | 1-054204 | AL |
| N | 363LP2300X | Nurse Practitioner - Primary Care | 1-054204 | AL |
| Y | 363LP2300X | Nurse Practitioner - Primary Care | 201601264NP | OR |
National Provider Identifier
| NPI | 1083091029 |
|---|---|
| Provider Name | Paige Pattillo |
| First Address | Medford, OR 97501-9605 |
| Second Address | Minnetonka, MN 55343-9664 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/04/2015 |
| Last Update Date | 06/08/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 201601263RN | OREGON STATE BOARD OF NURSING (01) | OR |
| 201602164NP-PP | OREGON STATE BOARD OF NURSING (01) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.