Healthcare Provider Details

I. General information

NPI: 1679123780
Provider Name (Legal Business Name): NAVNEET KAUR DHALIWAL FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NAVNEET KAUR DHALIWAL

II. Dates (important events)

Enumeration Date: 09/19/2019
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

685 W ALLUVIAL AVE STE 103
FRESNO CA
93711-5779
US

IV. Provider business mailing address

685 W ALLUVIAL AVE STE 103
FRESNO CA
93711-5779
US

V. Phone/Fax

Practice location:
  • Phone: 559-499-1233
  • Fax: 559-499-1232
Mailing address:
  • Phone: 559-499-1233
  • Fax: 559-499-1232

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95012736
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95012736
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: