# SIGNATURE PROVIDERS NURSING CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265263065
- **Authorized official:** MARK AGANYA PMHNP (CEO)
- **Authorized official phone:** (888) 848-4364

## Contact information

- **Practice address:** 1690 W SHAW AVE STE 220, FRESNO, CA 93711-3519
- **Practice address phone:** (888) 848-4364
- **Practice address fax:** (833) 218-8844
- **Mailing address:** PO BOX 392, COALINGA, CA 93210-0392
- **Mailing address phone:** (888) 848-4364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/13/2024
- **Last updated:** 06/19/2025