Provider Demographics
NPI:1316968654
Name:CONTEH, PATRICIA E (NP)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:E
Last Name:CONTEH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 W MONTE VISTA AVE STE 131
Mailing Address - Street 2:
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95380-8412
Mailing Address - Country:US
Mailing Address - Phone:209-494-8584
Mailing Address - Fax:209-558-4230
Practice Address - Street 1:3200 W MONTE VISTA AVE STE 131
Practice Address - Street 2:
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95380-8412
Practice Address - Country:US
Practice Address - Phone:209-494-8584
Practice Address - Fax:209-340-7775
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95002319363LP0808X
MNR115742-8363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
S88109Medicare UPIN