Provider Demographics
NPI:1497190045
Name:BIANCHI, PATRICIA M (FNP)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:M
Last Name:BIANCHI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5713 N PERSHING AVE STE A1
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95207-4946
Mailing Address - Country:US
Mailing Address - Phone:209-946-4373
Mailing Address - Fax:209-253-2359
Practice Address - Street 1:5713 N PERSHING AVE STE A1
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-4946
Practice Address - Country:US
Practice Address - Phone:209-946-4373
Practice Address - Fax:209-253-2359
Is Sole Proprietor?:No
Enumeration Date:2013-05-08
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA442985163WN1003X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WN1003XNursing Service ProvidersRegistered NurseNutrition Support