Patterson, Shelby

Patterson, Shelby is an individual health care provider with primary practice located at 1815 E Ireland Rd , South Bend IN 46614-2845. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Patterson, Shelby can be contacted via phone (574) 647-1700.

Contact Information

Primary practice address
1815 E Ireland Rd South Bend IN 46614-2845
Phone: (574) 647-1700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 28220040A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71012807A Indiana

Profile Details

NPI number 1710611603
LBN Legal business name Patterson, Shelby
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2022
Last updated Oct 22nd, 2022 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1710611603 NPPES
Indiana MEDICAID 300067413

Popular Providers