PAIGE PATTILLO NP NPI 1083091029

NPI Information

NPI: 1083091029
Provider Name: PAIGE PATTILLO, NP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
9900 BREN RD E
MINNETONKA, MN
ZIP 55343
Phone: (205) 936-1386
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Paige Pattillo, NP is a primary care nurse practitioner in Minnetonka, MN. Paige Pattillo, NP NPI is 1083091029. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9900 BREN RD E
MINNETONKA, MN
ZIP 55343-664
Phone: (205) 936-1386

The NPI 1083091029 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 4/29/2015 and was last updated on 8/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	1-054204	ALABAMA	No
2	363LP2300X	Nurse Practitioner	Primary Care	201601264NP	OREGON	Yes
3	363LP2300X	Nurse Practitioner	Primary Care	1-054204	ALABAMA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	201602164NP-PP	OTHER	OREGON	OREGON STATE BOARD OF NURSING
2	201601263RN	OTHER	OREGON	OREGON STATE BOARD OF NURSING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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