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MRS. COLLEEN KATHRYN TILLERY
NPI 1033955562
Nurse Practitioner - Acute Care in Fresno, CA

Active since July 03, 2024
1303 E HERNDON AVE, FRESNO, CA 93720(559) 450-3000 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Colleen Kathryn Tillery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. COLLEEN KATHRYN TILLERY (NPI 1033955562) is an individual acute care provider in Fresno, California, licensed in California (NP95029920) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1033955562
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMRS. COLLEEN KATHRYN TILLERY
Location Address1303 E HERNDON AVEFresno, CA 93720-3309
Mailing Address3162 Richmond AveClovis, CA 93619-8109 · (559) 408-8013
Phone(559) 450-3000
Sole ProprietorNo
Enumeration DateJuly 3, 2024
NPPES CertifiedJuly 3, 2024
✔ NPI 1033955562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CA · NP95029920
1303 E HERNDON AVE, Fresno, CA 93720
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MINA EMAD HANDAL MD
Student in an Organized Health Care Education/Training Program
1303 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 450-3000
WILLIAM B ETIZ DO
Anesthesiology
1303 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 450-3000
DR. THOMAS FUENTEZ JR. CRNA
Nurse Anesthetist, Certified Registered
1303 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 450-3000
DR. DEREK YIP MD
Student in an Organized Health Care Education/Training Program
1303 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 450-3000
EKTA CHUGH MD
Student in an Organized Health Care Education/Training Program
1303 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 450-3000
YANG J KIM MD
Anesthesiology
1303 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 450-3000
JOHN S STURMAN MD
Anesthesiology
1303 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 450-3000
VALLEY NUCLEAR MEDICAL GROUP
Nuclear Medicine (Nuclear Imaging & Therapy)
1303 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 449-3109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colleen Tillery's NPI number?

The NPI number for Colleen Tillery is 1033955562. It was assigned to this individual provider in the NPPES registry on July 3, 2024.

Where is Colleen Tillery located?

Colleen Tillery practices at 1303 E Herndon Ave, Fresno, CA 93720. The listed phone number is (559) 450-3000.

What is Colleen Tillery's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Colleen Tillery was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.