Individual provider · Type 1 NPI
Laverni Canonigo Suico, FNP-C
Family Nurse Practitioner · Fontana, CA
NPI number
1396534335
Active
Practice location
4989 Agave Ave
Fontana, CA 92336-5961
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95030500 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1396534335
Laverni Canonigo Suico, FNP-C's National Provider Identifier is 1396534335, issued on May 5, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fontana, CA. The record was last updated on May 5, 2025.