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Miss Carly Anne Childs, CPNP
Pediatric Nurse Practitioner in Fresno, California
NPI 1568124162

Carly Anne Childs is a Pediatric Nurse Practitioner based in Fresno, CA and is specialized in Pediatrics. Carly Anne Childs practices in Fresno, CA and has the professional credentials of CPNP. The NPI Number for Carly Anne Childs is 1568124162 and holds a License No. 95018442 (California).

The current practice location address for Carly Anne Childs is 290 N Wayte Ln Ste 1300, Fresno, CA and can be reached out via phone at 866-342-6012.

Location: 290 N Wayte Ln Ste 1300, Fresno, CA, 93721-1431
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568124162
Provider Name
Carly Anne Childs
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
290 N Wayte Ln Ste 1300, Fresno, CA, 93721-1431
Phone Number
866-342-6012
Fax Number
Provider Enumeration Date
10/11/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP95018442 01 CA BOARD OF REGISTERED NURSING
institution
Provider Business Practice Location Address Details
Address
290 N Wayte Ln Ste 1300
City
Fresno
State
California
Zip
93701-2124
Phone Number
866-342-6012
Fax Number
person
Provider Business Mailing Address Details
Address
290 N Wayte Ln Ste 1300
City
Fresno
State
California
Zip
93701-2124
Phone Number
866-342-6012
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
95018442 (California)
Definition
Definition to come...
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