Individual provider · Type 1 NPI
Casey Jean Taclas Fernandez
Critical Care Medicine Registered Nurse · Loma Linda, CA
NPI number
1104747955
Active
Practice location
11201 Benton St
Loma Linda, CA 92357-1000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse Primary | 163WC0200X | 95231051 (CA) |
Critical Care Medicine Registered Nurse: Definition to come...
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About NPI 1104747955
Casey Jean Taclas Fernandez's National Provider Identifier is 1104747955, issued on Jul 24, 2026. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Loma Linda, CA. The record was last updated on Jul 24, 2026.