Individual
PATRICIA PATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
516 EAST NIZHONI BLVD., GALLUP, NM 87301-1337
(505) 722-1000
Mailing address
4426 LARCHWOOD AVE, PHILADELPHIA, PA 19104-3916
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP014358
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2014020783
AMERICAN NURSES ASSOCIATION CREDENTIALLING CENTER
—
Enumeration date
07/17/2014
Last updated
02/27/2015
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