Individual provider · Type 1 NPI
Nanette Caballes Fong, NP
Nurse Practitioner · Los Angeles, CA
Practice location
300 Medical Plaza B200
Los Angeles, CA 90095-3075
Fax (310) 794-7491
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 588928 (CA) |
| Clinical Nurse Specialist | 364S00000X | 2298 (CA) |
| Nurse Practitioner Primary | 363L00000X | 15820 (CA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1154355758
Nanette Caballes Fong, NP's National Provider Identifier is 1154355758, issued on Jul 10, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 16, 2020.