Individual provider · Type 1 NPI
Stephanie Michelle Tate-Patterson, NP
Family Nurse Practitioner · East St. Louis, IL
NPI number
1053963470
Active
Practice location
4901 State St
East St. Louis, IL 62205-1356
Mailing address
26 Clark Dr
Fairview Heights, IL 62208-1618
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209019511 (IL) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1053963470
Stephanie Michelle Tate-Patterson, NP's National Provider Identifier is 1053963470, issued on Jul 16, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in East St. Louis, IL. The record was last updated on Jul 16, 2019.