Healthcare Provider Details

I. General information

NPI: 1831879709
Provider Name (Legal Business Name): DENISE NA YANG FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2023
Last Update Date: 09/12/2024
Certification Date: 09/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6095 N 1ST ST
FRESNO CA
93710-5444
US

IV. Provider business mailing address

6095 N 1ST ST
FRESNO CA
93710-5444
US

V. Phone/Fax

Practice location:
  • Phone: 559-446-1515
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95025848
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: