Individual
CARA LEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP CPNP
Contact information
Practice address
1570 E HERNDON AVE, FRESNO, CA 93720-3303
(559) 437-7300
Mailing address
PO BOX 28900, FRESNO, CA 93729
(559) 228-4205
(559) 224-3920
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NPF7688
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP7688
LICENSE
CA
Enumeration date
04/04/2007
Last updated
05/02/2008
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