Individual provider · NPI-1

Denise Amezcua, PA-C

Physician Assistant · Fresno, CA

NPI number1861887853
StatusActive
Last updated in NPPESJul 20, 2015

Details

NPI
1861887853
Entity type
Individual (NPI-1)
Name
Denise Amezcua
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Apr 6, 2015
Last updated
Jul 20, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant52254CAYes

Practice location

2740 S Elm Ave
Fresno, CA 93706-5435

Phone 559-457-5200

Mailing address

2740 S Elm Ave
Fresno, CA 93706-5435

Phone 559-457-5200

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physician Assistant providers in Fresno, CA