Provider Demographics
NPI:1265707442
Name:PATE, ERIN ALANNA (RN)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:ALANNA
Last Name:PATE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:ERIN
Other - Middle Name:ALANNA
Other - Last Name:POWERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1613 SAND LN
Mailing Address - Street 2:
Mailing Address - City:MANTECA
Mailing Address - State:CA
Mailing Address - Zip Code:95337-8630
Mailing Address - Country:US
Mailing Address - Phone:209-275-4612
Mailing Address - Fax:
Practice Address - Street 1:1613 SAND LN
Practice Address - Street 2:
Practice Address - City:MANTECA
Practice Address - State:CA
Practice Address - Zip Code:95337-8630
Practice Address - Country:US
Practice Address - Phone:209-275-4612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-20
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA743037163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine