Provider Demographics
NPI:1033726278
Name:CHATMAN, TASHA (FNP-C)
Entity type:Individual
Prefix:
First Name:TASHA
Middle Name:
Last Name:CHATMAN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:337 S STANFORD AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93727-3476
Mailing Address - Country:US
Mailing Address - Phone:559-274-3010
Mailing Address - Fax:559-515-6756
Practice Address - Street 1:6368 N FIGARDEN DR STE 107
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93722-7949
Practice Address - Country:US
Practice Address - Phone:559-274-3010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-30
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA721634163W00000X
CA95015918363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse