Modiste, Patti K

Modiste, Patti K is an individual health care provider with primary practice located at 8421 Auburn Blvd #160, Citrus Heights CA 95610-0359. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Modiste, Patti K can be contacted via phone (916) 725-6063.

Contact Information

Primary practice address
8421 Auburn Blvd #160 Citrus Heights CA 95610-0359
Phone: (916) 725-6063
Fax: (916) 725-0299
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP10720 California

Profile Details

NPI number 1114026655
LBN Legal business name Modiste, Patti K
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114026655 NPPES
California MEDICAID RN446906

Popular Providers