Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Glenda Sherry Peveto

Individual provider Nurse Practitioner · NPI 1700484680

Glenda Sherry Peveto is a Nurse Practitioner in Fresno, California. Qualified in 2019, 7 years ago. Accepts Medicare assignment and offers telehealth. Licensed in California and Louisiana.

Years since qualifying
7
Licensed in
CA, LA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1303 E Herndon Ave
Fresno, CA 93720-3309
Phone: (318) 267-2552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence NP95015571 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 215719 (LA)

Record details

NPI number1700484680
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 13, 2020
Last updated in NPPESOctober 13, 2020
Certification dateOctober 13, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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