Provider Demographics
NPI:1336950286
Name:BELOTE, PATTY (CNA)
Entity type:Individual
Prefix:
First Name:PATTY
Middle Name:
Last Name:BELOTE
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12310 E MIRABEAU PKWY STE 500
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99216-2259
Mailing Address - Country:US
Mailing Address - Phone:509-473-4900
Mailing Address - Fax:
Practice Address - Street 1:12310 E MIRABEAU PKWY STE 500
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216-2259
Practice Address - Country:US
Practice Address - Phone:509-473-4900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-18
Last Update Date:2025-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA10005817376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide