Individual provider · Type 1 NPI

Regina R. Burgos, FNP

Family Nurse Practitioner · Stockton, CA

NPI number 1194136754 Active

Practice location

3132 W March Ln Ste 5
Stockton, CA 95219-2354

Fax (209) 475-5535

Mailing address

3400 Data Dr, Attn Credentialing/payer Enrollment
Rancho Cordova, CA 95670-7956

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95000624 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1194136754

Regina R. Burgos, FNP's National Provider Identifier is 1194136754, issued on May 16, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Stockton, CA. The record was last updated on Sep 29, 2020.