Healthcare Provider Details

I. General information

NPI: 1518360833
Provider Name (Legal Business Name): SYLVIA MILLER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

2335 E KASHIAN LN
FRESNO CA
93701-2230
US

IV. Provider business mailing address

7145 N CHESTNUT AVE #101
FRESNO CA
93720-0359
US

V. Phone/Fax

Practice location:
  • Phone: 559-284-7264
  • Fax: 559-326-2170
Mailing address:
  • Phone: 559-284-7264
  • Fax: 559-326-2170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95000917
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: