Provider Demographics
NPI:1487894036
Name:PATTERSON, STEPHANIE ERIN (LPN)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:ERIN
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4419 S XENOPHON ST
Mailing Address - Street 2:
Mailing Address - City:MORRISON
Mailing Address - State:CO
Mailing Address - Zip Code:80465-1349
Mailing Address - Country:US
Mailing Address - Phone:303-984-9637
Mailing Address - Fax:
Practice Address - Street 1:5297 S WADSWORTH BLVD
Practice Address - Street 2:SOUTHWEST MEDICAL OFFICES
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123
Practice Address - Country:US
Practice Address - Phone:303-614-1400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-23
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO44879164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse