Individual provider · Type 1 NPI
Renee Michelle Massicci, FNP-C
Nurse Practitioner · Fresno, CA
Practice location
4177 W Shaw Ave Ste 107
Fresno, CA 93722-6221
Mailing address
199 W Shields Ave
Fresno, CA 93705-4102
Other practice locations
- 199 W Shields Ave, Fresno, CA 93705-4102 · (599) 225-4706
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95037739 (CA) |
| Registered Nurse | 163W00000X | 95393670 (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 1144012139
Renee Michelle Massicci, FNP-C's National Provider Identifier is 1144012139, issued on May 19, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fresno, CA. The record was last updated on Feb 6, 2026.