Healthcare Provider Details

I. General information

NPI: 1134266729
Provider Name (Legal Business Name): FRANCES K CIPOLLA CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 N VALERIA ST SUITE 206
FRESNO CA
93701-2166
US

IV. Provider business mailing address

110 N VALERIA ST SUITE 206
FRESNO CA
93701-2166
US

V. Phone/Fax

Practice location:
  • Phone: 559-234-2504
  • Fax: 559-264-3707
Mailing address:
  • Phone: 559-234-2504
  • Fax: 559-264-3707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number365359
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: