Individual
ALVIN MEDALLA TOPACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, MSN, FNP-C
Contact information
Practice address
2315 E. ILLINOIS AVE., FRESNO, CA 93701
(559) 459-4243
(559) 459-2407
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN701069
CA
363L00000X
Nurse Practitioner
Primary
NP23565
CA
363LF0000X
Family Nurse Practitioner
23565
CA
Other
Enumeration date
08/25/2013
Last updated
06/23/2014
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