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NPI Code Detail

MEDICARE: NATHANIEL GISPAN

MEDICARE: NATHANIEL GISPAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1730023326
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHANIEL GISPAN
Provider Business Mailing Address
First Line : 4205 W FIGARDEN DR
Second Line :
City : FRESNO
State : CA
Zip : 93722-6051
Country : US
Telephone Number : 559-221-1680
Fax Number : 559-221-4336
Provider Business Practice Location Address
First Line : 4205 W FIGARDEN DR
Second Line :
City : FRESNO
State : CA
Zip : 93722-6051
Country : US
Telephone Number : 559-221-1680
Fax Number : 559-221-4336
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2026
Last Update Date : 04/15/2026

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Directions to “ NATHANIEL GISPAN ” Practice Location

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