Individual
EVA DANNIELLE PATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
5135 US-84, LAUREL, MS 39443
(601) 340-3544
Mailing address
1105 BRADLEY DR, WAYNESBORO, MS 39367-2403
(601) 509-9064
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905182
MS
Other
Enumeration date
02/17/2022
Last updated
05/05/2022
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