Patterson, Maranda Marie

Patterson, Maranda Marie is an individual health care provider with primary practice located at 1401 E Van Buren Ave , Mcalester OK 74501-4245. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Patterson, Maranda Marie can be contacted via phone (918) 421-8410.

Contact Information

Primary practice address
1401 E Van Buren Ave Mcalester OK 74501-4245
Phone: (918) 421-8410
Fax: (918) 421-8772
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 92750 Oklahoma

Profile Details

NPI number 1750849600
LBN Legal business name Patterson, Maranda Marie
Credentials APRN-FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2019
Last updated Jul 10th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750849600 NPPES
Oklahoma MEDICAID 200834620A

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