Provider Demographics
NPI:1144424110
Name:DUKE, PATTI ANN (LVN)
Entity type:Individual
Prefix:MRS
First Name:PATTI
Middle Name:ANN
Last Name:DUKE
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10784 SIERRA VIEW ST
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93638-8832
Mailing Address - Country:US
Mailing Address - Phone:559-432-4562
Mailing Address - Fax:
Practice Address - Street 1:10784 SIERRA VIEW ST
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93638-8832
Practice Address - Country:US
Practice Address - Phone:559-432-4562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN142837164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse