Gonzalez, Patrisa

Gonzalez, Patrisa is an sole proprietor health care provider with primary practice located at 6 Richland Medical Park Dr Ste 2100 , Columbia SC 29203-6864. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Gonzalez, Patrisa can be contacted via phone (803) 434-2762.

Contact Information

Primary practice address
6 Richland Medical Park Dr Ste 2100 Columbia SC 29203-6864
Phone: (803) 434-2762
Fax: (803) 434-2713
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology 207RA0001X 23584 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 23584 South Carolina

Profile Details

NPI number 1881234631
LBN Legal business name Gonzalez, Patrisa
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2020
Last updated Jun 7th, 2021 - about 3 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 1881234631 NPPES
South Carolina MEDICAID NP6638

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