MEDICARE: CHERYL LYNN PATE APRN

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	364SW0102X	Women's Health Clinical Nurse Specialist	1219288	TX

General Provider Information

NPI Number	:	1316802705
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERYL LYNN PATE APRN

Provider Business Mailing Address
First Line	:	56 PIPER LANE
Second Line	:	#1673
City	:	HILLTOP LAKES
State	:	TX
Zip	:	77871-1673
Country	:	US
Telephone Number	:	903-724-1231
Fax Number	:

Provider Business Practice Location Address
First Line	:	118 E BRAZOS ST
Second Line	:
City	:	PALESTINE
State	:	TX
Zip	:	75801-5002
Country	:	US
Telephone Number	:	903-729-5191
Fax Number	:

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

Provider Enumeration Date	:	12/18/2025
Last Update Date	:	12/18/2025

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