Provider Demographics
NPI:1164246005
Name:DENNIS, PATRINA A (MSN, FNP-BC)
Entity type:Individual
Prefix:
First Name:PATRINA
Middle Name:A
Last Name:DENNIS
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:874 EDGEBROOK LN
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-5305
Mailing Address - Country:US
Mailing Address - Phone:954-400-9297
Mailing Address - Fax:
Practice Address - Street 1:874 EDGEBROOK LN
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-5305
Practice Address - Country:US
Practice Address - Phone:954-400-9297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-07
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11035528207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine