Healthcare Provider Details

I. General information

NPI: 1598933632
Provider Name (Legal Business Name): F.I.R.M. ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2008
Last Update Date: 02/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6042 N FRESNO ST 101
FRESNO CA
93710-5279
US

IV. Provider business mailing address

6042 N FRESNO ST 101
FRESNO CA
93710-5279
US

V. Phone/Fax

Practice location:
  • Phone: 559-224-6754
  • Fax: 559-490-0105
Mailing address:
  • Phone: 559-224-6754
  • Fax: 559-490-0105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LX0106X
TaxonomyOccupational Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. TIMISHA DENISE GREATHOUSE
Title or Position: OFFICE MANAGER
Credential:
Phone: 559-224-6754