Unknown Individual – Nurse Practitioner, NPI 1164501904
Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Selma Post Office, North Street, Selma, Fresno County, California, 93662, United States
SELMA, AL 367022213
Phone: (251) 746-2197
Type: Mailing
County Road, Bell Mountain, Apple Valley, San Bernardino County, California, United States
PINE APPLE, AL 367683525
Phone: (251) 746-2197
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 36702)
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