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Phalla Pov-brantle
Family Nurse Practitioner in Fresno, California
NPI 1306250709

Phalla Pov-brantle is a Family Nurse Practitioner based in Fresno, CA and is specialized in Family. Phalla Pov-brantle practices in Fresno, CA. The NPI Number for Phalla Pov-brantle is 1306250709 and holds a License No. 23738 (California).

The current practice location address for Phalla Pov-brantle is 7471 N Fresno St, Fresno, CA and can be reached out via phone at 559-436-4500.

Location: 7471 N Fresno St, Fresno, CA, 93720-2457
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Provider Profile Details
NPI Number
1306250709
Provider Name
Phalla Pov-brantle
Credential
Provider Entity Type
Individual
Gender
Female
Address
7471 N Fresno St, Fresno, CA, 93720-2457
Phone Number
559-436-4500
Fax Number
Provider Enumeration Date
06/13/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0043790 05 CA
ZZZ21572Z 01 CA GRP PTAN FOR BAZ ALLERGY, ASTHMA & SINUS CENTER
institution
Provider Business Practice Location Address Details
Address
7471 N Fresno St
City
State
Zip
93720-2457
Phone Number
559-436-4500
Fax Number
person
Provider Business Mailing Address Details
Address
7471 N Fresno St
City
State
Zip
93720-2457
Phone Number
559-436-4500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
23738 (California)
Definition
Definition to come...
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