MEDICARE: PATRICIA E CONTEH 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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	95002319	CA

General Provider Information

NPI Number	:	1316968654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA E CONTEH NP

Provider Business Mailing Address
First Line	:	3200 W MONTE VISTA AVE STE 131
Second Line	:
City	:	TURLOCK
State	:	CA
Zip	:	95380-8412
Country	:	US
Telephone Number	:	209-494-8584
Fax Number	:	209-558-4230

Provider Business Practice Location Address
First Line	:	3200 W MONTE VISTA AVE STE 131
Second Line	:
City	:	TURLOCK
State	:	CA
Zip	:	95380-8412
Country	:	US
Telephone Number	:	209-494-8584
Fax Number	:	209-340-7775

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2006
Last Update Date	:	01/17/2023

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