Provider Demographics
NPI:1265283824
Name:CHIDOLUE, ESE RITA (FNP)
Entity type:Individual
Prefix:
First Name:ESE
Middle Name:RITA
Last Name:CHIDOLUE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6738 E ADENA AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93727-0937
Mailing Address - Country:US
Mailing Address - Phone:559-761-6466
Mailing Address - Fax:
Practice Address - Street 1:6738 E ADENA AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93727-0937
Practice Address - Country:US
Practice Address - Phone:559-761-6466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2023209629363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care