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

Kristina Tarango Davidson, AGACNP

Individual provider Nurse Practitioner · NPI 1366205007

Kristina Tarango Davidson, AGACNP is a Nurse Practitioner in Fresno, California. Qualified in 2023, 3 years ago. Practices with Saint Agnes Medical Foundation, a 162-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2024
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Practice location Address checks out

1510 E Herndon Ave Ste 210
Fresno, CA 93720-3333
Phone: (559) 450-7455
Fax: (559) 450-7473
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1303 E Herndon Ave, Fresno, CA 93720-3309 — (559) 450-3000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95029458 (CA)

Record details

NPI number1366205007
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedFebruary 5, 2024
Last updated in NPPESMarch 21, 2024
Certification dateMarch 21, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Saint Agnes Medical Foundation — 162 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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