Provider Demographics
NPI:1801787106
Name:DIN, PATRICIA MARINA (FNP-C)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:MARINA
Last Name:DIN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35202 PORTOLA PL
Mailing Address - Street 2:
Mailing Address - City:WILDOMAR
Mailing Address - State:CA
Mailing Address - Zip Code:92595-7984
Mailing Address - Country:US
Mailing Address - Phone:619-227-0987
Mailing Address - Fax:
Practice Address - Street 1:25467 MEDICAL CENTER DR STE 201
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-1501
Practice Address - Country:US
Practice Address - Phone:951-600-7066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-14
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95036109363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health