Provider Demographics
NPI:1174208227
Name:KOROYAN, ERIKNAZ (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:ERIKNAZ
Middle Name:
Last Name:KOROYAN
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 1:10802 N EAGLE CREST LN
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93730-3594
Mailing Address - Country:US
Mailing Address - Phone:559-960-6463
Mailing Address - Fax:
Practice Address - Street 1:3656 W SHAW AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-3231
Practice Address - Country:US
Practice Address - Phone:559-355-8430
Practice Address - Fax:559-369-7529
Is Sole Proprietor?:No
Enumeration Date:2023-06-16
Last Update Date:2023-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95021919363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily