Individual
MS. ANNETTE DIXIE WASSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2823 FRESNO ST, FRESNO, CA 93721-1324
(559) 459-3961
(559) 459-6320
Mailing address
PO BOX 3844, FRESNO, CA 93650-3844
(209) 743-8407
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
20965
CA
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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