Provider Demographics
NPI:1386881225
Name:CLEVELAND, PATRICIA L (NP-C)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:L
Last Name:CLEVELAND
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:
Other - Last Name:NESSLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:8720 14TH AVENUE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108-4896
Mailing Address - Country:US
Mailing Address - Phone:206-762-3730
Mailing Address - Fax:206-764-0487
Practice Address - Street 1:8720 14TH AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-4807
Practice Address - Country:US
Practice Address - Phone:206-762-3730
Practice Address - Fax:206-764-0487
Is Sole Proprietor?:No
Enumeration Date:2009-01-14
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00171733163W00000X
WAAP60063151363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse