Provider Demographics
NPI:1386946069
Name:RENO PATTERSON, LEAH JEAN (NP)
Entity type:Individual
Prefix:MS
First Name:LEAH
Middle Name:JEAN
Last Name:RENO PATTERSON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:JEAN
Other - Last Name:PATTERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP PMHNP
Mailing Address - Street 1:1300 S FARMVIEW DR APT C31
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-3386
Mailing Address - Country:US
Mailing Address - Phone:302-883-2134
Mailing Address - Fax:
Practice Address - Street 1:30 E 23RD ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-4408
Practice Address - Country:US
Practice Address - Phone:664-650-5337
Practice Address - Fax:646-871-6820
Is Sole Proprietor?:No
Enumeration Date:2010-12-01
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL8-0000146363LP0808X
NY401804363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health