DUANE EDWARD PATTERSON NPI 1154054344

NPI Information

NPI: 1154054344
Provider Name: DUANE EDWARD PATTERSON
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
2428 W REYNOLDS AVE
CENTRALIA, WA
ZIP 98531
Phone: (360) 330-9044
Get Directions

Duane Edward Patterson is a psychiatric/mental health nurse practitioner in Centralia, WA. Duane Edward Patterson NPI is 1154054344. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2428 W REYNOLDS AVE
CENTRALIA, WA
ZIP 98531-554
Phone: (360) 330-9044
Fax: (360) 736-3139

The NPI 1154054344 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 7/5/2022 and was last updated on 11/1/2023.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP61489689	WASHINGTON	Yes
2	163WP0808X	Registered Nurse	Psychiatric/Mental Health	61105919	WASHINGTON	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: 5/5/2024

NPI Synchronization or Removal

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