MEDICARE: DEVON LAGRACE CASIDA 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	363LF0000X	Family Nurse Practitioner	95009510	CA
2	363L00000X	Nurse Practitioner	95009510	CA

General Provider Information

NPI Number	:	1922586643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEVON LAGRACE CASIDA FNP-C

Provider Business Mailing Address
First Line	:	1233 W SHAW AVE STE 103
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-3718
Country	:	US
Telephone Number	:	559-206-7680
Fax Number	:	559-206-7230

Provider Business Practice Location Address
First Line	:	1233 W SHAW AVE STE 103
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-3718
Country	:	US
Telephone Number	:	559-284-4794
Fax Number	:

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

Provider Enumeration Date	:	08/03/2018
Last Update Date	:	04/03/2024

Similar Medicare Providers

1811850605 — ISABELLA BOUCHER
Practice Location Address:

1233 W SHAW AVE STE 105
FRESNO, CA
93711-3718

Practice Phone: 866-727-8274
Practice Fax:

1487352456 — MS. ADINA SCHMIDT GOLDSTEIN NP
Practice Location Address:

1233 W SHAW AVE STE 103
FRESNO, CA
93711-3718

Practice Phone: 559-706-2680
Practice Fax:

1124717798 — RESTORATIVE HEALTH & WELLNESS INC
Practice Location Address:

1233 W SHAW AVE STE 103
FRESNO, CA
93711-3718

Practice Phone: 559-206-7680
Practice Fax: 559-892-4550

1891486148 — SARAH GILBERT LAIRD
Practice Location Address:

1233 W SHAW AVE STE 103
FRESNO, CA
93711-3718

Practice Phone: 559-206-7680
Practice Fax: 559-206-7230

1629754908 — LYDIA REQUEJO
Practice Location Address:

1233 W SHAW AVE STE 105
FRESNO, CA
93711-3718

Practice Phone: 866-727-8274
Practice Fax:

1750060455 — JACQUELINE TORRES
Practice Location Address:

1233 W SHAW AVE STE 105
FRESNO, CA
93711-3718

Practice Phone: 866-727-8274
Practice Fax:

Directions to “ DEVON LAGRACE CASIDA FNP-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.