Provider Demographics
NPI:1477674091
Name:DRATI, SAKINAH DARCUIEL (NP)
Entity Type:Individual
Prefix:
First Name:SAKINAH
Middle Name:DARCUIEL
Last Name:DRATI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:SAKINAH
Other - Middle Name:
Other - Last Name:DARCUIEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:163 E MOODY AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-1508
Mailing Address - Country:US
Mailing Address - Phone:559-433-0666
Mailing Address - Fax:559-225-2497
Practice Address - Street 1:5339 N FRESNO ST STE 107D
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-6851
Practice Address - Country:US
Practice Address - Phone:559-225-2494
Practice Address - Fax:559-225-2497
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP8882363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA513690OtherREGISTERED NURSE
CA8882OtherNURSE PRACTITIONER