Provider Demographics
NPI:1356341036
Name:RATTO, ANDREA MARIE (PA)
Entity type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:MARIE
Last Name:RATTO
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:718 TREVETHAN AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95065-1347
Mailing Address - Country:US
Mailing Address - Phone:831-457-8917
Mailing Address - Fax:
Practice Address - Street 1:9 CRESTVIEW DR
Practice Address - Street 2:
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076-2723
Practice Address - Country:US
Practice Address - Phone:831-763-8400
Practice Address - Fax:831-763-8127
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA11591363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant