Organization · Type 2 NPI

Medamerica

Family Nurse Practitioner · Fresno, CA

NPI number 1861696023 Active

Practice location

2174 N Antioch Ave
Fresno, CA 93722-7310

Call (559) 277-9892 Map

Mailing address

5512 W Oak Ave
Fresno, CA 93722

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X9936 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1861696023

Medamerica's National Provider Identifier is 1861696023, issued on Jun 12, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fresno, CA. The record was last updated on Jul 21, 2008.