Basic Information
Provider Information
NPI: 1922319904
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PATTERSON
FirstName: APRIL
MiddleName: A.
NamePrefix:  
NameSuffix:  
Credential: FMHNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: BOVEE, SWARTZ
OtherFirstName: APRIL
OtherMiddleName: A.
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: FMHNP
OtherLastNameType: 1
Mailing Information
Address1: 750 E 34TH ST
Address2:  
City: HIBBING
State: MN
PostalCode: 557462341
CountryCode: US
TelephoneNumber: 2182624881
FaxNumber:  
Practice Location
Address1: 750 E 34TH ST
Address2:  
City: HIBBING
State: MN
PostalCode: 557462341
CountryCode: US
TelephoneNumber: 2182624881
FaxNumber: 2183626702
Other Information
ProviderEnumerationDate: 06/24/2010
LastUpdateDate: 01/08/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0808XR172049-9MNY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health

No ID Information.


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