Healthcare Provider Details

I. General information

NPI: 1023901576
Provider Name (Legal Business Name): MESALY VUE MSN, FNP-BC, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2025
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6590 E SOONER DR
FRESNO CA
93727-1970
US

IV. Provider business mailing address

6590 E SOONER DR
FRESNO CA
93727-1970
US

V. Phone/Fax

Practice location:
  • Phone: 559-795-9924
  • Fax:
Mailing address:
  • Phone: 559-795-9924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95034180
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: