Healthcare Provider Details

I. General information

NPI: 1437038635
Provider Name (Legal Business Name): BINTOU DIABY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2025
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

577 N HELM LN
CLOVIS CA
93611-7287
US

IV. Provider business mailing address

577 N HELM LN
CLOVIS CA
93611-7287
US

V. Phone/Fax

Practice location:
  • Phone: 559-296-8375
  • Fax: 559-678-2883
Mailing address:
  • Phone: 559-296-8375
  • Fax: 559-678-2883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95036216
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: