Provider Demographics
NPI:1255066593
Name:BALDERAS, SAIRA SARAI (FNP-C)
Entity type:Individual
Prefix:
First Name:SAIRA
Middle Name:SARAI
Last Name:BALDERAS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:SAIRA
Other - Middle Name:SARAI
Other - Last Name:MAGANA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1915 N BURKE ST
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93292-2216
Mailing Address - Country:US
Mailing Address - Phone:559-302-0475
Mailing Address - Fax:
Practice Address - Street 1:1093 11TH ST
Practice Address - Street 2:
Practice Address - City:REEDLEY
Practice Address - State:CA
Practice Address - Zip Code:93654-2950
Practice Address - Country:US
Practice Address - Phone:559-743-7340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95021789363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily