Provider Demographics
NPI:1770821464
Name:ZARATE, NELLY Y (FNP-C)
Entity type:Individual
Prefix:
First Name:NELLY
Middle Name:Y
Last Name:ZARATE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2132 S EZIE AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93727-6550
Mailing Address - Country:US
Mailing Address - Phone:559-287-9663
Mailing Address - Fax:
Practice Address - Street 1:7151 N CEDAR AVE STE 102
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-3389
Practice Address - Country:US
Practice Address - Phone:559-322-7766
Practice Address - Fax:559-322-7120
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-30
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN266325251J00000X
CANP95033473363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No251J00000XAgenciesNursing Care