Stephanie Abdelal

Individual provider Active NPI Registered Nurse · Fresno, CA

NPI 1558247767 · NPPES record last updated Aug 13, 2025

Key facts

NPI
1558247767
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN241737 (GA)
Practice address
2615 E Clinton Ave
Fresno, CA 93703-2223
Phone
(559) 304-2563
NPI assigned
Aug 13, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RN241737GAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN241737 GA Yes

Addresses

Primary practice location

2615 E Clinton Ave
Fresno, CA 93703-2223

Mailing address

5466 W Bedford Ave
Fresno, CA 93722-2706
Phone (559) 779-9413

Other providers in Fresno, CA

All providers in Fresno, CA · Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.