Individual
ANN CAMILLE TADAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2335 E KASHIAN LN STE 301, FRESNO, CA 93701-2234
(559) 459-5660
Mailing address
PO BOX 889442, LOS ANGELES, CA 90088-9442
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95013140
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750928552
—
CA
Enumeration date
11/30/2019
Last updated
11/18/2025
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