Provider Demographics
NPI:1437589371
Name:PATTON, NATASHA DAWN
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:DAWN
Last Name:PATTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:824 PIRATES CAVE CT
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032-9076
Mailing Address - Country:US
Mailing Address - Phone:702-517-3677
Mailing Address - Fax:
Practice Address - Street 1:824 PIRATES CAVE CT
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-9076
Practice Address - Country:US
Practice Address - Phone:702-517-3677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-13
Last Update Date:2013-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitation