Provider Demographics
NPI:1396074407
Name:SOLIDUM, PATRICIA ABANO (NP)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:ABANO
Last Name:SOLIDUM
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:123 CHALAN KARETA
Mailing Address - Street 2:
Mailing Address - City:MANGILAO
Mailing Address - State:GU
Mailing Address - Zip Code:96923-6304
Mailing Address - Country:US
Mailing Address - Phone:671-735-7121
Mailing Address - Fax:671-734-7097
Practice Address - Street 1:123 CHALAN KARETA
Practice Address - Street 2:
Practice Address - City:MANGILAO
Practice Address - State:GU
Practice Address - Zip Code:96913-6304
Practice Address - Country:US
Practice Address - Phone:671-735-7121
Practice Address - Fax:671-734-7097
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-18
Last Update Date:2009-12-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GUNP 0066363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health