Individual provider · NPI-1

Denise Aguilar, RN PA NP

Physician Assistant · Fresno, CA

NPI number1124186614
StatusActive
Last updated in NPPESJan 19, 2012

Details

NPI
1124186614
Entity type
Individual (NPI-1)
Name
Mrs. Denise Aguilar
Credential
RN PA NP
Sex
Female
Sole proprietor
No
Enumeration date
Dec 5, 2006
Last updated
Jan 19, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA15084CAYes
363L00000X Nurse Practitioner10980CA

Practice location

1377 E Herndon Ave
Suite 104
Fresno, CA 93720-3022

Phone 559-450-7455 · Fax 559-450-7473

Mailing address

1377 E Herndon Ave
Suite 104
Fresno, CA 93720-3022

Phone 559-450-7455 · Fax 559-450-7473

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