Healthcare Provider Details

I. General information

NPI: 1174927214
Provider Name (Legal Business Name): MARIA YEPIZ-WANG FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2014
Last Update Date: 10/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 W NOBLE AVE SUITE 202
VISALIA CA
93277-2669
US

IV. Provider business mailing address

3031 W CLINTON CT
VISALIA CA
93291-8538
US

V. Phone/Fax

Practice location:
  • Phone: 559-625-9200
  • Fax: 559-625-0665
Mailing address:
  • Phone: 559-909-1545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number580472
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: