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Organization
TOWER CLINIC FOR WOMEN AND CHILDREN A NURSE PRACTIONER AND NURSING MID
Active
Organization
TOWER CLINIC FOR WOMEN AND CHILDREN A NURSE PRACTIONER AND NURSING MID
Active
Other names
Tower Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL L ISTVANICK FNP (MEMBER)
(559) 264-7062
Entity
Organization
Contact information
Practice address
1277 N WISHON AVE, FRESNO, CA 93728-2346
(559) 264-7059
(559) 264-7057
Mailing address
1277 N WISHON AVE, FRESNO, CA 93728-2346
(559) 264-7059
(559) 264-7057
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RN479392
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G692111
—
CA
01
—
ZZZ178947
MEDICARE GROUP #
CA
Enumeration date
01/12/2007
Last updated
04/16/2008
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