Individual
MRS. MONICA RACHELLE PATIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2601 N SPRUCE ST, OGALLALA, NE 69153-2465
(308) 284-3645
(308) 284-2721
Mailing address
2601 N SPRUCE ST., OGALLALA, NE 69153
(308) 284-3645
(308) 284-2721
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1180
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47055808700
—
NE
Enumeration date
06/09/2005
Last updated
06/14/2010
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