Search › California › 363A00000X
Nisebho Fantaye, PA-C
NPI 1942875778 · on the registry since 2021 · sole proprietor
Practice
- Address
- 726 4th St
Marysville, CA 95901 - Phone
- (530) 749-4300
- Organisation at this address
- County Of Sutter
Cep America - California
Rideout Memorial Hospital
Three Rivers Medical Group
Cep America - Neurology PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 119
Additional practice sites
- 1310 Club Dr, Vallejo, CA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-09-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California