Basic Information
| Provider Information | |||||||||
| NPI: | 1326237629 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CARD | ||||||||
| FirstName: | CHRISTINE | ||||||||
| MiddleName: | MARIE | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 729 N MEDICAL CENTER DR W | ||||||||
| Address2: | SUITE 205 | ||||||||
| City: | CLOVIS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 936116879 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5592997700 | ||||||||
| FaxNumber: | 5592979679 | ||||||||
| Practice Location | |||||||||
| Address1: | 729 N MEDICAL CENTER DR W | ||||||||
| Address2: | SUITE 205 | ||||||||
| City: | CLOVIS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 936116879 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5592997700 | ||||||||
| FaxNumber: | 5592979679 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/23/2007 | ||||||||
| LastUpdateDate: | 08/07/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 17732 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.