Individual provider · Type 1 NPI

Antoniannette Pate, FNP-C

Family Nurse Practitioner · Decatur, IL

NPI number 1265947451 Active

Practice location

1750 E Lake Shore Dr
Decatur, IL 62521-3803

Mailing address

PO Box 193
Boody, IL 62514-0193

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209.016156 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1265947451

Antoniannette Pate, FNP-C's National Provider Identifier is 1265947451, issued on Dec 10, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Decatur, IL. The record was last updated on Jan 3, 2022.