MEDICARE: RENEE MICHELLE CHAMBERS FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	95037739	CA
2	163W00000X	Registered Nurse	95393670	CA

General Provider Information

NPI Number	:	1144012139
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RENEE MICHELLE CHAMBERS FNP-C

Provider Business Mailing Address
First Line	:	199 W SHIELDS AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93705-4102
Country	:	US
Telephone Number	:	559-225-4706
Fax Number	:

Provider Business Practice Location Address
First Line	:	4177 W SHAW AVE STE 107
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93722-6221
Country	:	US
Telephone Number	:	559-225-4706
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2025
Last Update Date	:	12/02/2025

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