| Doctor Name: | MRS. MONICA RACHELLE PATIN |
| NPI Number: | 1790789667 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 1180 |
| Business Practice Address: | 2601 N Spruce St Ogallala, NE - 691532465 |
| Business Phone Number: | 3082843645 |
| Business Fax Number: | 3082842721 |
| Mailing Address: | 2601 N Spruce St., OGALLALA |
| State: | NE |
| Postal Code: | 69153 |
| Phone Number: | 3082843645 |
| Fax Number: | 3082842721 |
| NPI Enumeration Date: | 06/09/2005 |
| NPI Last Update Date: | 06/14/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 1180 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |