Provider Demographics
NPI:1992392351
Name:NIELSEN, FRESCA ROYCE C
Entity Type:Individual
Prefix:MRS
First Name:FRESCA ROYCE
Middle Name:C
Last Name:NIELSEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:FRESCA ROYCE
Other - Middle Name:C
Other - Last Name:ARCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:332 BELLE AVE
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93308-4306
Mailing Address - Country:US
Mailing Address - Phone:559-270-8245
Mailing Address - Fax:
Practice Address - Street 1:332 BELLE AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-4306
Practice Address - Country:US
Practice Address - Phone:559-270-8245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-30
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95026943163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health