Patricia A Doplemore, NP
Nurse Practitioner, Family in Stockton, CA. Individual provider (NPI-1).
NPI number1790741270
StatusActive
Last updated in NPPESMay 26, 2010
Details
- NPI
- 1790741270
- Entity type
- Individual (NPI-1)
- Name
- Patricia A Doplemore
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 25, 2006
- Last updated
- May 26, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 4611 | CA | Yes |
| 163W00000X | Registered Nurse | 300814 | CA |
Other names
- Patricia A Green (Former Name)
Practice location
2505 W Hammer LnStockton, CA 95209-2839
Phone 209-957-7050
Mailing address
600 Coffee RdModesto, CA 95355-4201
Phone 209-521-6097
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