Healthcare Provider Details

I. General information

NPI: 1205011996
Provider Name (Legal Business Name): CAROL ANN RICHINA NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/01/2008
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7033 N FRESNO ST STE 301 7033 N. FRESNO SUITE301
FRESNO CA
93720-2979
US

IV. Provider business mailing address

6754 E CHURCH AVE
FRESNO CA
93727-6704
US

V. Phone/Fax

Practice location:
  • Phone: 559-438-8181
  • Fax:
Mailing address:
  • Phone: 559-453-0693
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number17613
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number282806
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: