Kevin C Carreiro, RN
Registered Nurse, Psych/Mental Health, Adult in Fresno, CA. Individual provider (NPI-1).
NPI number1790042372
StatusActive
Last updated in NPPESApr 19, 2019
Details
- NPI
- 1790042372
- Entity type
- Individual (NPI-1)
- Name
- Kevin C Carreiro
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 19, 2012
- Last updated
- Apr 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | RN821495 | CA | Yes |
| 164X00000X | Licensed Vocational Nurse | 198801 | CA |
Practice location
1225 M StFresno, CA 93721
Phone 559-600-9365
Mailing address
1225 M StFresno, CA 93721-1805
Phone 559-600-9365 · Fax 559-488-3298
Other practice locations
9808 Venice Blvd Ste 700
Culver City, CA 90232-6824
Culver City, CA 90232-6824
Phone 310-945-3350 · Fax 310-840-7023
1225 M St
Fresno, CA 93721
Fresno, CA 93721
Phone 559-600-9365
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