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NPI Code Detail

MEDICARE: PATRICIA NABORS KING NP

MEDICARE:   PATRICIA NABORS KING  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerNP12519CA

General Provider Information

NPI Number : 1053417329
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA NABORS KING NP
Provider Business Mailing Address
First Line : PO BOX 3768
Second Line :
City : MERCED
State : CA
Zip : 95344-3768
Country : US
Telephone Number : 209-667-0702
Fax Number : 209-667-6737
Provider Business Practice Location Address
First Line : 1600 CREEKSIDE DR STE 2100
Second Line :
City : FOLSOM
State : CA
Zip : 95630-3447
Country : US
Telephone Number : 916-983-2663
Fax Number : 916-983-2663
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2006
Last Update Date : 07/21/2022

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Directions to “ PATRICIA NABORS KING NP” Practice Location

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