Individual provider · Type 1 NPI

Glenda Sue Patredis, CPNP

Pediatric Nurse Practitioner · Dallas, TX

NPI number 1003898529 Active

Practice location

5201 Harry Hines Blvd
Dallas, TX 75235-7708

Mailing address

PO Box 660599
Dallas, TX 75266-0599

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X441738 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1003898529

Glenda Sue Patredis, CPNP's National Provider Identifier is 1003898529, issued on Nov 18, 2005. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Dallas, TX. The record was last updated on Jan 5, 2009.