Healthcare Provider Details

I. General information

NPI: 1770660953
Provider Name (Legal Business Name): MICHELE LYN WEBBER-KLEIN NP, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MIKI WEBBER

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1925 E DAKOTA AVE
FRESNO CA
93726-4821
US

IV. Provider business mailing address

1925 E DAKOTA AVE
FRESNO CA
93726-4821
US

V. Phone/Fax

Practice location:
  • Phone: 559-935-9180
  • Fax: 559-600-9135
Mailing address:
  • Phone: 559-600-9180
  • Fax: 559-600-9135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number22871
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number22871
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number651852
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number19898
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number200842502RN
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: