Organization
SIGNATURE PROVIDERS NURSING CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK AGANYA PMHNP (CEO)
(888) 848-4364
Entity
Organization
Contact information
Practice address
1690 W SHAW AVE STE 220, FRESNO, CA 93711-3519
(888) 848-4364
(833) 218-8844
Mailing address
PO BOX 392, COALINGA, CA 93210-0392
(888) 848-4364
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366270621
—
CA
Enumeration date
08/13/2024
Last updated
06/19/2025
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