Individual
DR. ROBERTA ANNE BAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
510 BARSTOW AVE, CLOVIS, CA 93612-2228
(559) 327-7976
(559) 327-7974
Mailing address
510 BARSTOW AVE, CLOVIS, CA 93612-2228
(559) 327-7976
(559) 327-7974
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NPF 5669
CA
363LP0200X
Pediatric Nurse Practitioner
RN262580
CA
Other
Enumeration date
07/20/2005
Last updated
08/11/2014
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