Portilla, Patricia

Portilla, Patricia is an individual health care provider with primary practice located at 5201 Charlotte Pike , Nashville TN 37209-3320. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Women's Health Care, Ambulatory, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Portilla, Patricia can be contacted via phone (615) 222-1900.

Contact Information

Primary practice address
5201 Charlotte Pike Nashville TN 37209-3320
Phone: (615) 222-1900
Fax: (615) 222-1917
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Women's Health Care, Ambulatory 163WW0101X 151993 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 12715 Tennessee

Profile Details

NPI number 1962558700
LBN Legal business name Portilla, Patricia
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Feb 3rd, 2011 - about 13 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 1962558700 NPPES
Tennessee MEDICAID 1521352
Tennessee Other 4279925

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