Individual provider · Type 1 NPI

Nichole Dianne Montinola

Medical Physician Assistant · Fresno, CA

NPI number 1154099794 Active

Practice location

2823 Fresno St
Fresno, CA 93721-1324

Fax (559) 443-2681

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X62133 (CA)
Medical Physician Assistant Primary 363AM0700X62133 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1154099794

Nichole Dianne Montinola's National Provider Identifier is 1154099794, issued on Aug 30, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fresno, CA. The record was last updated on Jan 6, 2023.