MEDICARE: MR. JOHN R FRATIANNI DNAP, CRNA

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	367500000X	Certified Registered Nurse Anesthetist	95002309	CA

General Provider Information

NPI Number	:	1881300671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOHN R FRATIANNI DNAP, CRNA

Provider Business Mailing Address
First Line	:	9479 N FORT WASHINGTON RD STE 103
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93730-5939
Country	:	US
Telephone Number	:	559-494-4030
Fax Number	:	559-494-4030

Provider Business Practice Location Address
First Line	:	9479 N FORT WASHINGTON RD STE 103
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93730-5939
Country	:	US
Telephone Number	:	559-494-4030
Fax Number	:

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

Provider Enumeration Date	:	01/25/2023
Last Update Date	:	05/19/2024

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