Healthcare Provider Details

I. General information

NPI: 1346644226
Provider Name (Legal Business Name): CLARABELLE T. DUARTE N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2014
Last Update Date: 01/24/2022
Certification Date: 01/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7471 N.FRESNO ST.
FRESNO CA
93720-4315
US

IV. Provider business mailing address

7471 N.FRESNO ST.
FRESNO CA
93720-4315
US

V. Phone/Fax

Practice location:
  • Phone: 559-797-4315
  • Fax:
Mailing address:
  • Phone: 559-797-4315
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2292222
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number23808
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: