Provider Demographics
NPI:1538857669
Name:ATKINS, PATRICIA M (BSN)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:M
Last Name:ATKINS
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18100 E FRONT ST
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:CA
Mailing Address - Zip Code:95236-9701
Mailing Address - Country:US
Mailing Address - Phone:209-887-8308
Mailing Address - Fax:
Practice Address - Street 1:18100 E FRONT ST
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:CA
Practice Address - Zip Code:95236-9701
Practice Address - Country:US
Practice Address - Phone:209-887-8308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-26
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA425251163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator