Healthcare Provider Details

I. General information

NPI: 1336069905
Provider Name (Legal Business Name): CATHERINE A. LAURENTE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2615 E CLINTON AVE
FRESNO CA
93703-2223
US

IV. Provider business mailing address

1444 HEIRLOOM AVE
CLOVIS CA
93619-7748
US

V. Phone/Fax

Practice location:
  • Phone: 559-225-6100
  • Fax: 559-241-6609
Mailing address:
  • Phone: 559-225-6100
  • Fax: 559-241-6609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number787213
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: