Individual provider · Type 1 NPI

Patti K. Modiste, NP

Nurse Practitioner · Citrus Heights, CA

NPI number 1114026655 Active

Practice location

8421 Auburn Blvd, #160
Citrus Heights, CA 95610-0359

Fax (916) 725-0299

Mailing address

PO Box 255228
Sacramento, CA 95865-5228

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNP10720 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1114026655

Patti K. Modiste, NP's National Provider Identifier is 1114026655, issued on Sep 21, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Citrus Heights, CA. The record was last updated on Jul 8, 2007.