Provider Demographics
NPI:1467258970
Name:PATTERSON, COLE THOMAS (APN)
Entity type:Individual
Prefix:
First Name:COLE
Middle Name:THOMAS
Last Name:PATTERSON
Suffix:
Gender:
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2443 EMPIRE VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:LEADVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80461-9638
Mailing Address - Country:US
Mailing Address - Phone:816-686-7898
Mailing Address - Fax:
Practice Address - Street 1:627 24 1/2 RD STE F
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81505-1277
Practice Address - Country:US
Practice Address - Phone:816-686-7898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1000501363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty