Basic Information
| Provider Information | |||||||||
| NPI: | 1104354299 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CAREY | ||||||||
| FirstName: | PATRICIA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2078 TRUMAN LN | ||||||||
| Address2: | |||||||||
| City: | OAKLEY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945613907 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9258485400 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2000 SIERRA RD | ||||||||
| Address2: | |||||||||
| City: | CONCORD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 94518 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9253632000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/01/2017 | ||||||||
| LastUpdateDate: | 07/12/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 95121777 | CA | Y | Nursing Service Providers | Registered Nurse |
No ID Information.