Individual provider · Type 1 NPI
Michelle R. Medina, FNP-BC
Nurse Practitioner · Riverside, CA
Practice location
10800 Magnolia Ave
Riverside, CA 92505-3043
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2015032210 (MO) |
| Nurse Practitioner Primary | 363L00000X | 95011851 (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 1497129340
Michelle R. Medina, FNP-BC's National Provider Identifier is 1497129340, issued on Nov 16, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Riverside, CA. The record was last updated on May 30, 2026.