Provider Demographics
NPI:1013650647
Name:MESROPYAN, VARTANUSH
Entity Type:Individual
Prefix:
First Name:VARTANUSH
Middle Name:
Last Name:MESROPYAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5506 N 9TH ST
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-6418
Mailing Address - Country:US
Mailing Address - Phone:559-916-0074
Mailing Address - Fax:
Practice Address - Street 1:5506 N 9TH ST
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-6418
Practice Address - Country:US
Practice Address - Phone:559-916-0074
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-20
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide