Folden, Patricia Gwen
Folden, Patricia Gwen is an individual health care provider with primary practice located at 2010 Injo Dr , Lake Havasu City AZ 86403-5707. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Folden, Patricia Gwen can be contacted via phone (928) 412-8420.Contact Information
Primary practice address
2010 Injo Dr
Lake Havasu City AZ 86403-5707
Phone: (928) 412-8420
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP10341 | Arizona |
Profile Details
NPI number | 1356870695 |
---|---|
LBN Legal business name | Folden, Patricia Gwen |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 9th, 2017 |
Last updated | Mar 25th, 2019 - about 5 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 | 1356870695 | NPPES |
Arizona | MEDICAID | 14032579 |
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