Healthcare Provider Details

I. General information

NPI: 1053431882
Provider Name (Legal Business Name): CYNTHIA D SHIPP-ROWELL F.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5315 W HILLSDALE AVE
VISALIA CA
93291-5118
US

IV. Provider business mailing address

5315 W HILLSDALE AVE
VISALIA CA
93291-5118
US

V. Phone/Fax

Practice location:
  • Phone: 559-732-9900
  • Fax: 559-732-9900
Mailing address:
  • Phone: 559-732-9900
  • Fax: 559-732-9900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11373
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: