Provider Demographics
NPI:1255772224
Name:PARTIPILO, PATTI JEAN (PCD)
Entity type:Individual
Prefix:MS
First Name:PATTI
Middle Name:JEAN
Last Name:PARTIPILO
Suffix:
Gender:F
Credentials:PCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2927 VIA PEPITA
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92009-9239
Mailing Address - Country:US
Mailing Address - Phone:760-845-7771
Mailing Address - Fax:
Practice Address - Street 1:2927 VIA PEPITA
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92009-9239
Practice Address - Country:US
Practice Address - Phone:760-845-7771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-08
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9275374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula