Most Relevant Information
Provider Data
| NPI Number: | 1003395104 |
| Provider Name: | PATRISHA L TWYMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 2-066644 |
Most Important Dates
| Enumeration Date: | 08/09/2018 |
| Last Updated: | 08/09/2018 |
Provider Practice Location
LYSTER ARMY HEALTH CLINIC
BLDG 301 ANDREWS AVE
FORT RUCKER
AL
363625333
Practice Location Phone/Fax
| Phone: | 3342557341 |
| Fax: |
Provider Mailing Location
LYSTER ARMY HEALTH CLINIC
BLDG 301 ANDREWS AVE
FORT RUCKER
AL
363625333
Provider Mailing Phone/Fax
| Phone: | 3342557341 |
| Fax: |