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Pat I Ekenomaghele, NP
Psychiatric/Mental Health Nurse Practitioner in Modesto, California
NPI 1245015502

Pat I Ekenomaghele is a Psychiatric/Mental Health Nurse Practitioner based in Modesto, CA and is specialized in Psychiatric/Mental Health. Pat I Ekenomaghele practices in Modesto, CA and has the professional credentials of NP. The NPI Number for Pat I Ekenomaghele is 1245015502 and holds a License No. 95026889 (California).

The current practice location address for Pat I Ekenomaghele is 3987 Purple Finch Ln, Modesto, CA and can be reached out via phone at 309-585-8099.

Location: 3987 Purple Finch Ln, Modesto, CA, 95355-8529
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245015502
Provider Name
Pat I Ekenomaghele
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3987 Purple Finch Ln, Modesto, CA, 95355-8529
Phone Number
309-585-8099
Fax Number
Provider Enumeration Date
08/25/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3987 Purple Finch Ln
City
Modesto
State
California
Zip
95355-8529
Phone Number
309-585-8099
Fax Number
person
Provider Business Mailing Address Details
Address
3987 Purple Finch Ln
City
Modesto
State
California
Zip
95355-8529
Phone Number
309-585-8099
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
95026889 (Illinois)
Definition
Definition to come...
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