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Individual

MRS. CAROL ISTVANICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1277 N WISHON AVE, FRESNO, CA 93728-2346
(559) 264-7062
(559) 438-4116
Mailing address
1277 N WISHON AVE, FRESNO, CA 93728-2346
(559) 264-7062
(559) 438-4116

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
479392
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP0060180
CA
Enumeration date
08/09/2006
Last updated
09/30/2008
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