Healthcare Provider Details

I. General information

NPI: 1477468544
Provider Name (Legal Business Name): PRISCILLA HUERTA URIBE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: PRISCILLA HUERTA

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1888 MUSTANG DR
HANFORD CA
93230-9811
US

IV. Provider business mailing address

789 ARLINGTON AVE
LEMOORE CA
93245-9172
US

V. Phone/Fax

Practice location:
  • Phone: 559-585-2400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: