Willette, Patricia A.

Willette, Patricia A. is an individual health care provider with primary practice located at 10010 Kennerly Rd , Saint Louis MO 63128-2106. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Willette, Patricia A. can be contacted via phone (636) 386-7222.

Contact Information

Primary practice address
10010 Kennerly Rd Saint Louis MO 63128-2106
Phone: (636) 386-7222
Fax: (636) 200-4036
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 050035 Missouri

Profile Details

NPI number 1790775765
LBN Legal business name Willette, Patricia A.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Nov 25th, 2014 - about 12 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 1790775765 NPPES
Missouri MEDICAID 912673043

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