Basic Information
Provider Information
NPI: 1023019122
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PATTERSON
FirstName: ANNE
MiddleName: THERESA
NamePrefix: MS.
NameSuffix:  
Credential: PA-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: ARSENAULT
OtherFirstName: ANNE
OtherMiddleName: PATTERSON
OtherNamePrefix: MS.
OtherNameSuffix:  
OtherCredential: PA-C
OtherLastNameType: 5
Mailing Information
Address1: 320 E NORTH AVE
Address2: ALLEGHENY THORACIC AND CARDIOVASCULAR ASSOCS
City: PITTSBURGH
State: PA
PostalCode: 152124756
CountryCode: US
TelephoneNumber: 4123598820
FaxNumber: 4123598222
Practice Location
Address1: 320 E NORTH AVE
Address2: ALLEGHENY THORACIC AND CARDIOVASCULAR ASSOCS
City: PITTSBURGH
State: PA
PostalCode: 152124756
CountryCode: US
TelephoneNumber: 4123598820
FaxNumber: 4123598222
Other Information
ProviderEnumerationDate: 08/10/2005
LastUpdateDate: 10/28/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363AM0700XMA003352LPAY Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical

No ID Information.


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