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

Phalla Pov-Brantle

Individual provider Family Nurse Practitioner · NPI 1306250709

Phalla Pov-Brantle is a Nurse Practitioner in Fresno, California. Qualified in 2013, 13 years ago. Practices with Baz Allergy Asthma and Sinus Center Inc, a 23-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Licensed in
CA
In the registry since
2014
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Practice location Address checks out

7471 N Fresno St
Fresno, CA 93720-2457
Phone: (559) 436-4500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 23738 (CA)

Record details

NPI number1306250709
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 13, 2014
Last updated in NPPESMarch 29, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Baz Allergy Asthma And Sinus Center Inc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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