Healthcare Provider Details

I. General information

NPI: 1477674091
Provider Name (Legal Business Name): SAKINAH DARCUIEL DRATI N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SAKINAH DARCUIEL N.P.

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5339 N FRESNO ST STE 107D
FRESNO CA
93710-6851
US

IV. Provider business mailing address

163 E MOODY AVE
FRESNO CA
93720-1508
US

V. Phone/Fax

Practice location:
  • Phone: 559-225-2494
  • Fax: 559-225-2497
Mailing address:
  • Phone: 559-433-0666
  • Fax: 559-225-2497

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberNP8882
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: