Healthcare Provider Details

I. General information

NPI: 1730909979
Provider Name (Legal Business Name): EUDAEMONIA, A NURSING PRACTICE PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2024
Last Update Date: 10/14/2024
Certification Date: 10/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2407 E SUSSEX WAY STE 101
FRESNO CA
93726-4035
US

IV. Provider business mailing address

2407 E SUSSEX WAY STE 101
FRESNO CA
93726-4035
US

V. Phone/Fax

Practice location:
  • Phone: 559-930-9228
  • Fax:
Mailing address:
  • Phone: 559-930-9228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANGELA BROWN
Title or Position: CEO
Credential: NP-C
Phone: 559-930-9228