Individual provider · Type 1 NPI
Alexis Fagundo
Family Nurse Practitioner · Burbank, CA
NPI number
1922873777
Active
Practice location
501 S Buena Vista St
Burbank, CA 91505-4809
Mailing address
3936 Park Pl
Montrose, CA 91020-1609
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95027346 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1922873777
Alexis Fagundo's National Provider Identifier is 1922873777, issued on Nov 21, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Burbank, CA. The record was last updated on Nov 21, 2023.