Healthcare Provider Details

I. General information

NPI: 1982098877
Provider Name (Legal Business Name): BELINDA PATE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BELINDA PATE-DUNBAR RN

II. Dates (important events)

Enumeration Date: 03/27/2015
Last Update Date: 03/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4601 H ST
SACRAMENTO CA
95819-3436
US

IV. Provider business mailing address

7060 21ST AVE
SACRAMENTO CA
95820-5946
US

V. Phone/Fax

Practice location:
  • Phone: 916-628-2356
  • Fax:
Mailing address:
  • Phone: 916-628-2356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number494970
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: