Caballero, Roxanna Arely

Caballero, Roxanna Arely is an individual health care provider with primary practice located at 185 N Douglas Ave , Fresno CA 93727-3637. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Caballero, Roxanna Arely can be contacted via phone (559) 260-7850.

Contact Information

Primary practice address
185 N Douglas Ave Fresno CA 93727-3637
Phone: (559) 260-7850
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 95014359 California

Profile Details

NPI number 1770102295
LBN Legal business name Caballero, Roxanna Arely
Credentials NURSE PRACTICTIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2020
Last updated Apr 14th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770102295 NPPES
California MEDICAID 1113

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