Ruth Patterson, PNP
Individual provider Active NPI Pediatric Nurse Practitioner · Rustburg, VA
NPI 1285697359 · NPPES record last updated Feb 13, 2020
Key facts
- NPI
- 1285697359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- 80369 (CO)
- Practice address
- 925 Village Hwy
Rustburg, VA 24588-4591 - Phone
- (434) 455-2480
- NPI assigned
- Apr 10, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80369 | CO | MD | Pediatric Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 80369 | CO | Yes |
Addresses
Primary practice location
925 Village Hwy
Rustburg, VA 24588-4591
Mailing address
134 Elon Rd
Madison Heights, VA 24572-2536
Phone (434) 455-2480
Other practice location 1
3405 Downing St
Denver, CO 80205-3972
Phone (303) 296-1767
Other practice location 2
2402 Atherholt Rd
Lynchburg, VA 24501-2148
Phone (434) 455-2480
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07803695 | Medicaid | CO |
Other providers in Rustburg, VA
- Alanna G Neal
- Amy Gillis Nixon
- Stephen John Oakley
- Toni Overstreet
- Patrick M Todd, DDS Inc
- Luiz Penalva
- Sabrina Perrow
- Positive Improvement Sitters, LLC
- Bryan John Prinzivalli
- Whitley Drinkard Ranson
All providers in Rustburg, VA · Pediatric Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.