Individual provider · Type 1 NPI
Luis Jesus Fonseca Vasquez, RN
Psychiatric/Mental Health Registered Nurse · Santa Rosa, CA
NPI number
1760355648
Active
Practice location
2225 Challenger Way
Santa Rosa, CA 95407-5441
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 95384669 (CA) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1760355648
Luis Jesus Fonseca Vasquez, RN's National Provider Identifier is 1760355648, issued on Sep 26, 2025. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Santa Rosa, CA. The record was last updated on Sep 26, 2025.