Healthcare Provider Details

I. General information

NPI: 1679623441
Provider Name (Legal Business Name): FE TORIO RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4441 E KINGS CANYON RD
FRESNO CA
93702-3604
US

IV. Provider business mailing address

4441 E KINGS CANYON RD
FRESNO CA
93702-3604
US

V. Phone/Fax

Practice location:
  • Phone: 559-453-5191
  • Fax: 559-253-7864
Mailing address:
  • Phone: 559-453-5191
  • Fax: 559-253-7864

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN 252070
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: