Individual
MARY PATRICIA GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNP
Contact information
Practice address
6405 DAY ST, RIVERSIDE, CA 92507-0901
(951) 697-5438
(951) 697-5508
Mailing address
3660 ARLINGTON AVE, RIVERSIDE, CA 92506-3912
(951) 697-5438
(951) 697-5508
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
NP6592
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730180415
GROUP NPI
CA
Enumeration date
12/16/2005
Last updated
12/02/2011
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