KATHERINE MCLELLAN PATIL N.P.
NPI 1235546722
Nurse Practitioner - Family in Portage, MI
Active since July 16, 2014
About Katherine Mclellan Patil N.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHERINE MCLELLAN PATIL N.P. (NPI 1235546722) is an individual family provider in Portage, Michigan, licensed in Michigan (4704234974) and active in the NPI registry since July 2014.
NPPES Registry Identity
NPI1235546722
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHERINE MCLELLAN PATILCredential: N.P.
Location Address7901 ANGLING RDPortage, MI 49024-0714
Mailing Address7901 Angling RdPortage, MI 49024-0714
Phone(269) 324-8600
Sole ProprietorNo
Enumeration DateJuly 16, 2014
Last NPPES UpdateSeptember 30, 2016
✔ NPI 1235546722 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704234974
7901 ANGLING RD, Portage, MI 49024
Other Names 1
Former Name (1)Katherine Elizabeth Mclellan N.p.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235546722, enumerated as an "individual" on July 16, 2014.
The provider is located at 7901 ANGLING RD PORTAGE, MI 49024 and the phone number is (269) 324-8600.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
