MS. SHAWANDA MONIQUE PATTERSON NP NPI 1639587082

NPI Information

NPI: 1639587082
Provider Name: MS. SHAWANDA MONIQUE PATTERSON, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
622 W 168TH ST
NEW YORK, NY
ZIP 10032
Phone: (646) 426-3876
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MS. Shawanda Monique Patterson, NP is an adult health nurse practitioner in New York, NY with 10 years of experience. MS. Shawanda Monique Patterson, NP NPI is 1639587082. 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:

622 W 168TH ST
NEW YORK, NY
ZIP 10032-720
Phone: (646) 426-3876
Fax: (212) 305-2792

The NPI 1639587082 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/29/2014 and was last updated on 2/14/2018.

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	163W00000X	Registered Nurse		559461	NEW YORK	No
2	363LA2200X	Nurse Practitioner	Adult Health	307009	NEW YORK	Yes

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: 4/28/2024

NPI Synchronization or Removal

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