Individual provider · Type 1 NPI
Therese Mariel Fonseca, FNP
Family Nurse Practitioner · Lancaster, CA
NPI number
1902629348
Active
Practice location
43322 Gingham Ave
Lancaster, CA 93535-4576
Mailing address
40301 Preston Rd
Palmdale, CA 93551-5357
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 95185009 (CA) |
| Family Nurse Practitioner Primary | 363LF0000X | 95032530 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1902629348
Therese Mariel Fonseca, FNP's National Provider Identifier is 1902629348, issued on Nov 4, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lancaster, CA. The record was last updated on Nov 4, 2024.