MS. MARILYN M. PATTILLO APRN GNP NPI 1427010883

NPI Information

NPI: 1427010883
Provider Name: MS. MARILYN M. PATTILLO, APRN GNP
Classification: Nurse Practitioner - 363LG0600X
Specialization: Gerontology
Entity Type: Individual
PECOS Registration: Yes
Address: 3509 ROGGE LN
AUSTIN, TX
ZIP 78723
Phone: (512) 926-2070

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NPI Details

MS. Marilyn M. Pattillo, APRN GNP is a gerontology nurse practitioner in Austin, TX. MS. Marilyn M. Pattillo, APRN GNP NPI is 1427010883. 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:

3509 ROGGE LN
AUSTIN, TX
ZIP 78723-640
Phone: (512) 926-2070
Fax: (512) 926-9570

The NPI 1427010883 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 4/3/2006 and was last updated on 7/21/2022.

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	363LG0600X	Nurse Practitioner	Gerontology	424864	TEXAS	Yes

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	NP7217	OTHER	TEXAS	BLUE CROSS PROVIDER NUMBE

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: 3/30/2025

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