Healthcare Provider Details

I. General information

NPI: 1427690437
Provider Name (Legal Business Name): MICHELLE CADIZ RUBIO MSN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MICHELLE CABATO CADIZ MSN, FNP-C

II. Dates (important events)

Enumeration Date: 10/10/2019
Last Update Date: 10/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 S NEWMARK AVE
PARLIER CA
93648-2531
US

IV. Provider business mailing address

982 E BOORNAZIAN AVE
FOWLER CA
93625-9813
US

V. Phone/Fax

Practice location:
  • Phone: 559-646-1200
  • Fax:
Mailing address:
  • Phone: 559-813-0506
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95013039
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: