Organization · Type 2 NPI

Signature Providers Nursing Corp

Psychiatric/Mental Health Nurse Practitioner · Fresno, CA

NPI number 1265263065 Active

Practice location

1690 W Shaw Ave Ste 220
Fresno, CA 93711-3519

Fax (833) 218-8844

Mailing address

PO Box 392
Coalinga, CA 93210-0392

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1265263065

Signature Providers Nursing Corp's National Provider Identifier is 1265263065, issued on Aug 13, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fresno, CA. The record was last updated on Jun 19, 2025.