Healthcare Provider Details

I. General information

NPI: 1790102879
Provider Name (Legal Business Name): NANCY M ROBINSON FNP, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2014
Last Update Date: 03/29/2023
Certification Date: 03/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5319 W HILLSDALE AVE
VISALIA CA
93291-5118
US

IV. Provider business mailing address

5319 W HILLSDALE AVE
VISALIA CA
93291-5118
US

V. Phone/Fax

Practice location:
  • Phone: 559-732-1648
  • Fax: 559-732-0664
Mailing address:
  • Phone: 559-732-1648
  • Fax: 559-732-0664

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95000532
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: