Laura Elaine Abaloz
Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Fresno, CA
NPI 1699439265 · NPPES record last updated Dec 26, 2024
Key facts
- NPI
- 1699439265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Registered Nurse 163WP0808X
- License
- 95399939 (CA)
- Practice address
- 4411 E Cesar Chavez Blvd
Fresno, CA 93702-3604 - Phone
- (559) 453-1008
- NPI assigned
- Oct 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95399939 | CA | MD | Psychiatric/Mental Health Registered Nurse |
| 229336 | CA | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 229336 | CA | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 95399939 | CA | Yes |
Addresses
Primary practice location
4411 E Cesar Chavez Blvd
Fresno, CA 93702-3604
Mailing address
4411 E Cesar Chavez Blvd
Fresno, CA 93702-3604
Phone (559) 453-1008
Other practice location 1
3133B N Millbrook Ave
Fresno, CA 93703-1425
Phone (559) 453-1008
Other practice location 2
3147 N Millbrook Ave
Fresno, CA 93703-1425
Phone (559) 453-1008
Other practice location 3
3127 N Millbrook Ave
Fresno, CA 93703-1425
Phone (559) 453-1008
Other practice location 4
3520 E Shields Ave Ste 102
Fresno, CA 93726-6923
Phone (559) 538-1230
Other providers in Fresno, CA
- ABA Support Group LLC
- Concepcion Abad
- Careen Abadjian
- Ashlee J Abalos
- Jauda Abalos
- Benjamin Abangan
- Rita Seiwaah Abankwa
- Barseg Abanyan
- Ferlyn Abas
- Emma Lou Vargas Abate
All providers in Fresno, CA · Psychiatric/Mental Health Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.