Healthcare Provider Details

I. General information

NPI: 1093659690
Provider Name (Legal Business Name): NATALIE RAMOS DIAZ FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 M ST
FRESNO CA
93721-1805
US

IV. Provider business mailing address

5722 W ELLERY AVE
FRESNO CA
93722-3144
US

V. Phone/Fax

Practice location:
  • Phone: 559-600-9360
  • Fax: 559-488-3298
Mailing address:
  • Phone: 559-304-3365
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF04260317
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: