Pattillo, Paige

Pattillo, Paige is an individual health care provider with primary practice located at 9900 Bren Rd E , Minnetonka MN 55343-9664. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Pattillo, Paige can be contacted via phone (205) 936-1386.

Contact Information

Primary practice address
9900 Bren Rd E Minnetonka MN 55343-9664
Phone: (205) 936-1386
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1-054204 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 1-054204 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 201601264NP Oregon

Profile Details

NPI number 1083091029
LBN Legal business name Pattillo, Paige
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2015
Last updated Aug 6th, 2020 - about 4 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 1083091029 NPPES
Oregon Other 201601263RN OREGON STATE BOARD OF NURSING
Oregon Other 201602164NP-PP OREGON STATE BOARD OF NURSING

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