Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARCEL FOMOTAR, CRNP-PMH
Active Sole ProprietorMARCEL FOMOTAR, CRNP-PMH is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in CLOVIS, California. NPI 1447765409 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · CLOVIS, CA
Registration Details
- NPI Number
- 1447765409
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 12, 2017 (8.4930917911644 yrs)
- Last Updated
- Sep 16, 2022
- Licenses
-
95043929 (CA)R244114 (MD)95014417 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1085 SANDERS AVECLOVIS, CA, 936193935Browse CA providers · Browse ZIP 93619
- Phone
- 4084496623
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in CLOVIS, CA
| Name | Credential | NPI |
|---|---|---|
| MOLLY J BERTRAM | RN, PMHNP | 1043513815 |
| GLORIA CHRISTINA SUDETA | NP-C | 1083070064 |
| ANDRANIK AVAKIAN | PMHNP-C | 1528599982 |
| LISA ANN DEGRAFF | PMHNP-BC | 1588399737 |
| JESSE CAGUIOA DAMINO | PMHNP | 1235837246 |
| CARLOTA CORTEZ | NP | 1790488021 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.