Healthcare Provider Details

I. General information

NPI: 1831974856
Provider Name (Legal Business Name): DAISY FLORES FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2023
Last Update Date: 03/01/2026
Certification Date: 03/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 S FRONTAGE RD
MC FARLAND CA
93250-1075
US

IV. Provider business mailing address

611 S FRONTAGE RD
MC FARLAND CA
93250-1075
US

V. Phone/Fax

Practice location:
  • Phone: 661-792-2731
  • Fax:
Mailing address:
  • Phone: 661-792-2731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95035431
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: