Healthcare Provider Details

I. General information

NPI: 1114845245
Provider Name (Legal Business Name): BRIDGETTE FIFIELD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2848 W ASHLAN AVE
FRESNO CA
93705-1757
US

IV. Provider business mailing address

6808 N LAUREEN AVE
FRESNO CA
93710-4919
US

V. Phone/Fax

Practice location:
  • Phone: 800-492-4227
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95040430
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: