MRS. CEREASA LEEANN PATTERSON NURSE PRACTITIONER NPI 1669048211

NPI Information

NPI: 1669048211
Provider Name: MRS. CEREASA LEEANN PATTERSON, NURSE PRACTITIONER
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
7701 E KELLOGG DR STE 490
WICHITA, KS
ZIP 67207
Phone: (316) 722-2138
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MRS. Cereasa Leeann Patterson, NURSE PRACTITIONER is a family nurse practitioner in Wichita, KS with 3 years of experience. MRS. Cereasa Leeann Patterson, NURSE PRACTITIONER NPI is 1669048211. 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:

7701 E KELLOGG DR STE 490
WICHITA, KS
ZIP 67207-716
Phone: (316) 722-2138

The NPI 1669048211 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 6/2/2021 and was last updated on 9/17/2021.

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	53-80521-032	KANSAS	Yes
2	163W00000X	Registered Nurse		13-134071-032	KANSAS	No

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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