Healthcare Provider Details

I. General information

NPI: 1477602647
Provider Name (Legal Business Name): ALLYSON VEE PIELOP CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 01/20/2023
Certification Date: 01/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

722 MEDICAL CENTER DR E #101
CLOVIS CA
93611-6810
US

IV. Provider business mailing address

100 WILLOW PLZ STE 201
VISALIA CA
93291-6206
US

V. Phone/Fax

Practice location:
  • Phone: 559-297-9500
  • Fax: 559-297-9572
Mailing address:
  • Phone: 559-627-9284
  • Fax: 559-713-0965

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WX0003X
TaxonomyInpatient Obstetric Registered Nurse
License Number1195
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1195
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number1195
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number1195
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number1195
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberNMW1195
License Number StateCA
# 7
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number1195
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: