Childs, Carly Anne

Childs, Carly Anne is an individual health care provider with primary practice located at 290 N Wayte Ln Ste 1300 , Fresno CA 93701-2124. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Childs, Carly Anne can be contacted via phone (866) 342-6012.

Contact Information

Primary practice address
290 N Wayte Ln Ste 1300 Fresno CA 93701-2124
Phone: (866) 342-6012
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 95018442 California

Profile Details

NPI number 1568124162
LBN Legal business name Childs, Carly Anne
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2021
Last updated Jun 21st, 2023 - about last year

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 1568124162 NPPES
California Other NP95018442 BOARD OF REGISTERED NURSING

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