Individual provider · Type 1 NPI
Shawanda Monique Patterson, NP
Adult Health Nurse Practitioner · New York, NY
NPI number
1639587082
Active
Practice location
622 W 168th St
New York, NY 10032-3720
Fax (212) 305-2792
Mailing address
710 W 168th St
New York, NY 10032-3726
Other practice locations
- 175 Belgrove Dr, Kearny, NJ 07032-1507 · (201) 216-9500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 559461 (NY) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 26NJ1254900 (NJ) |
| Adult Health Nurse Practitioner | 363LA2200X | 307009 (NY) |
| Gerontology Nurse Practitioner | 363LG0600X | 26NJ01254900 (NJ) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1639587082
Shawanda Monique Patterson, NP's National Provider Identifier is 1639587082, issued on Jul 29, 2014. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on Apr 20, 2026.