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NPI Code Detail

MEDICARE: RAQUEL PATEL FNP

MEDICARE: RAQUEL PATEL FNP
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
1363LF0000XFamily Nurse Practitioner95023550CA

General Provider Information

NPI Number : 1164107967
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAQUEL PATEL FNP
Provider Business Mailing Address
First Line : 12417 FAIR OAKS BLVD STE 600
Second Line :
City : FAIR OAKS
State : CA
Zip : 95628-2500
Country : US
Telephone Number : 916-727-1400
Fax Number : 916-727-1403
Provider Business Practice Location Address
First Line : 12417 FAIR OAKS BLVD STE 600
Second Line :
City : FAIR OAKS
State : CA
Zip : 95628-2500
Country : US
Telephone Number : 916-727-1400
Fax Number : 916-727-1403
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2023
Last Update Date : 10/02/2025

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Directions to “ RAQUEL PATEL FNP” Practice Location

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