Individual provider · Type 1 NPI

Mary Christine Deasis Gonzales, MSN, FNP-C

Nurse Practitioner · Loma Linda, CA

NPI number 1235450495 Active

Practice location

11201 Benton St
Loma Linda, CA 92357-5527

Call (909) 825-7084 Map

Mailing address

11117 Alamo Rd
Loma Linda, CA 92354-6511

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNP19704 (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 1235450495

Mary Christine Deasis Gonzales, MSN, FNP-C's National Provider Identifier is 1235450495, issued on Jun 22, 2010. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Loma Linda, CA. The record was last updated on May 6, 2025.