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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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 1427010883 NPPES
Texas Other NP7217 BLUE CROSS PROVIDER NUMBE

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