Provider Demographics
NPI:1225838469
Name:PATTERSON, SANTANNA (MS)
Entity type:Individual
Prefix:
First Name:SANTANNA
Middle Name:
Last Name:PATTERSON
Suffix:
Gender:
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6361 SUN VALLEY PKWY
Mailing Address - Street 2:
Mailing Address - City:OREGON
Mailing Address - State:WI
Mailing Address - Zip Code:53575-2578
Mailing Address - Country:US
Mailing Address - Phone:205-602-4536
Mailing Address - Fax:
Practice Address - Street 1:6361 SUN VALLEY PKWY
Practice Address - Street 2:
Practice Address - City:OREGON
Practice Address - State:WI
Practice Address - Zip Code:53575-2578
Practice Address - Country:US
Practice Address - Phone:205-602-4536
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program