Individual provider · Type 1 NPI
Cornelio Emmanuel Bengzon Rustia, FNP
Family Nurse Practitioner · San Jacinto, CA
NPI number
1033624036
Active
Practice location
1324 Willowstone Ct
San Jacinto, CA 92582-4247
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN534950 (CA) |
| Family Nurse Practitioner Primary | 363LF0000X | NP95007135 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1033624036
Cornelio Emmanuel Bengzon Rustia, FNP's National Provider Identifier is 1033624036, issued on Dec 12, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Jacinto, CA. The record was last updated on Dec 12, 2017.