Individual provider · Type 1 NPI

Micah Pinasco

Nurse Practitioner · Clovis, CA

NPI number 1679196133 Active

Practice location

604 N Magnolia Ave Ste 100
Clovis, CA 93611-9205

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95014565 (CA)
Family Nurse Practitioner 363LF0000X95014565 (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 1679196133

Micah Pinasco's National Provider Identifier is 1679196133, issued on May 19, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Clovis, CA. The record was last updated on Sep 29, 2020.