Individual
ANGELA MARIE PATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2425 HIGHWAY 77, SOUTHSIDE, AL 35907-7907
(256) 442-4141
Mailing address
1450 HOLIDAY DR, SOUTHSIDE, AL 35907-0608
(256) 617-1414
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-085993
AL
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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