Adetokunbo Diane Disu, LPT - Registered Nurse in Fresno, CA

Adetokunbo Diane Disu, LPT is a Registered Nurse - Psychiatric/mental Health based in Fresno, California. Adetokunbo Diane Disu is licensed to practice in California (license number 95396890) and her current practice location is 4411 E Cesar Chavez Blvd, Fresno, California. She can be reached at her office (for appointments etc.) via phone at (559) 453-1008.

NPI number for Adetokunbo Diane Disu is 1972856557 and her current mailing address is 1528 Monte Vista Ave, Madera, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972856557.

Contact Information

Adetokunbo Diane Disu, LPT
4411 E Cesar Chavez Blvd,
Fresno, CA 93702-3604
(559) 453-1008
Not Available

Map and Direction




Provider's Profile

Full NameAdetokunbo Diane Disu
GenderFemale
SpecialityRegistered Nurse - Psychiatric/mental Health
Location4411 E Cesar Chavez Blvd, Fresno, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1972856557
  • Provider Enumeration Date: 10/19/2012
  • Last Update Date: 11/05/2024

Medical Identifiers

Medical identifiers for Adetokunbo Diane Disu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972856557NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0808XRegistered Nurse - Psychiatric/mental Health 95396890 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Adetokunbo Diane Disu is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Adetokunbo Diane Disu, LPT
1528 Monte Vista Ave,
Madera, CA 93637-8960

Ph: (559) 538-1230
Adetokunbo Diane Disu, LPT
4411 E Cesar Chavez Blvd,
Fresno, CA 93702-3604

Ph: (559) 453-1008

Reviews and Comments


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