Provider Demographics
NPI:1801628631
Name:PATTERSON, REBECCA JEAN (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:JEAN
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 CRANDALL ST
Mailing Address - Street 2:
Mailing Address - City:ADAMS
Mailing Address - State:MA
Mailing Address - Zip Code:01220-2221
Mailing Address - Country:US
Mailing Address - Phone:413-652-0526
Mailing Address - Fax:
Practice Address - Street 1:7 CRANDALL ST
Practice Address - Street 2:
Practice Address - City:ADAMS
Practice Address - State:MA
Practice Address - Zip Code:01220-2221
Practice Address - Country:US
Practice Address - Phone:413-652-0526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2291625163WH1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH1000XNursing Service ProvidersRegistered NurseHospice