Healthcare Provider Details

I. General information

NPI: 1770511842
Provider Name (Legal Business Name): VIVIANNE HOPE CURRIER P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 11/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 W BULLARD AVE STE 102
CLOVIS CA
93612-0861
US

IV. Provider business mailing address

822 W FAIRMONT AVE
FRESNO CA
93705-0528
US

V. Phone/Fax

Practice location:
  • Phone: 559-299-2128
  • Fax:
Mailing address:
  • Phone: 559-478-8120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA18300
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: