Pattillo, Marilyn M.
Pattillo, Marilyn M. is an sole proprietor health care provider with primary practice located at 3509 Rogge Ln , Austin TX 78723-3640. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Pattillo, Marilyn M. can be contacted via phone (512) 926-2070.Contact Information
Primary practice address
3509 Rogge Ln
Austin TX 78723-3640
Phone: (512) 926-2070
Fax: (512) 926-9570
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 424864 | Texas |
Profile Details
| NPI number | 1427010883 |
|---|---|
| LBN Legal business name | Pattillo, Marilyn M. |
| Credentials | APRN GNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Jul 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427010883 | NPPES |
| Texas | Other | NP7217 | BLUE CROSS PROVIDER NUMBE |
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