Individual provider · Type 1 NPI
Fernanda Kathy Lara, NP
Nurse Practitioner · Colton, CA
Practice location
400 N Pepper Ave
Colton, CA 92324-1801
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | NP95038523 (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 1669139697
Fernanda Kathy Lara, NP's National Provider Identifier is 1669139697, issued on Nov 24, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Colton, CA. The record was last updated on Aug 26, 2026.