Individual
ANNE CORCORAN WILKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
6225 N FRESNO ST, STE 104, FRESNO, CA 93710-5268
(559) 265-4444
(559) 265-4454
Mailing address
6225 N FRESNO ST, STE 104, FRESNO, CA 93710-5268
(559) 265-4444
(559) 265-4454
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
1002
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760479745
CORPORATION NPI NUMBER
CA
05
—
GR0029520
—
CA
05
—
LAB73144F
—
CA
Enumeration date
07/11/2006
Last updated
12/08/2016
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