Individual provider · Type 1 NPI
Adetokunbo Diane Disu
Psychiatric/Mental Health Registered Nurse · Fresno, CA
NPI number
1972856557
Active
Practice location
4411 E Cesar Chavez Blvd
Fresno, CA 93702-3604
Mailing address
1528 Monte Vista Ave
Madera, CA 93637-8960
Other practice locations
- 3127 N Millbrook Ave, Fresno, CA 93703-1425 · (559) 453-1008
- 3147 N Millbrook Ave, Fresno, CA 93703-1425 · (559) 453-1008
- 3133B N Millbrook Ave, Fresno, CA 93703-1425 · (559) 453-1008
- 3520 E Shields Ave Ste 102, Fresno, CA 93726-6923 · (559) 538-1230
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 95396890 (CA) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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- Carole Clements PingsClinical Social Worker Fresno, CA NPI 1215078688
- Christina SuonPeer Specialist Fresno, CA NPI 1750278537
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- David Pierre HunterCounselor Fresno, CA NPI 1588297212
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- Edna Pagkalinawan TalamayanPsychiatric/Mental Health Registered Nurse Fresno, CA NPI 1679134811
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About NPI 1972856557
Adetokunbo Diane Disu's National Provider Identifier is 1972856557, issued on Oct 19, 2012. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Fresno, CA. The record was last updated on Nov 18, 2024.