Portilla, Patricia
Portilla, Patricia is an individual health care provider with primary practice located at 5201 Charlotte Pike , Nashville TN 37209-3320. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Women's Health Care, Ambulatory, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Portilla, Patricia can be contacted via phone (615) 222-1900.Contact Information
Primary practice address
5201 Charlotte Pike
Nashville TN 37209-3320
Phone: (615) 222-1900
Fax: (615) 222-1917
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Women's Health Care, Ambulatory | 163WW0101X | 151993 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 12715 | Tennessee |
Profile Details
| NPI number | 1962558700 |
|---|---|
| LBN Legal business name | Portilla, Patricia |
| Credentials | Women's Health Nurse Practitioner (WHNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Feb 3rd, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962558700 | NPPES |
| Tennessee | MEDICAID | 1521352 | |
| Tennessee | Other | 4279925 |
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