Healthcare Provider Details

I. General information

NPI: 1447957964
Provider Name (Legal Business Name): ESTHER IGBOERIKA PNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2023
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 E BARSTOW AVE STE 112
FRESNO CA
93710-5023
US

IV. Provider business mailing address

2473 W BEECHWOOD AVE
FRESNO CA
93711-7015
US

V. Phone/Fax

Practice location:
  • Phone: 559-348-8299
  • Fax:
Mailing address:
  • Phone: 909-246-6537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number95024281
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: