Provider Demographics
NPI:1588086342
Name:ARATA, DEE ANNA (RN)
Entity type:Individual
Prefix:
First Name:DEE
Middle Name:ANNA
Last Name:ARATA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:DEE
Other - Middle Name:ANNA
Other - Last Name:ARATA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:820 SCENIC DR
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95350
Mailing Address - Country:US
Mailing Address - Phone:209-558-7700
Mailing Address - Fax:209-558-7286
Practice Address - Street 1:820 SCENIC DR
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350
Practice Address - Country:US
Practice Address - Phone:209-558-7700
Practice Address - Fax:209-558-7286
Is Sole Proprietor?:No
Enumeration Date:2014-01-14
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA837330163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse