Penny Kathleen Patterson, RN
Individual provider Active NPI Registered Nurse · Pleasant Plain, OH
NPI 1659592467 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1659592467
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN 249909 (OH)
- Practice address
- 9651 Jackson Runyan Rd.
Pleasant Plain, OH 45162 - Phone
- (513) 877-3474
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 249909 | OH | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN 249909 | OH | Yes |
Addresses
Primary practice location
9651 Jackson Runyan Rd.
Pleasant Plain, OH 45162
Mailing address
9651 Jackson Runyan Rd.
Pleasant Plain, OH 45162
Phone (513) 877-3474
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2667510 | Medicaid | OH |
Other providers in Pleasant Plain, OH
- Harlan Township Trustees
- Oliver Scott Harris III
- Honor Care Medical Transport LLC
- Kelsey Jast
- Kathryn Grace Koch
- Michelle Recker
- Debbie Schmitz
- Kayleb Schmitz
- Wayne Schmitz
- James Harrison Spurling
All providers in Pleasant Plain, OH · Registered Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.