Reivan Buenaobra, RN
Registered Nurse, Urology in Fresno, CA. Individual provider (NPI-1).
NPI number1013868629
StatusActive
Last updated in NPPESFeb 9, 2026
Details
- NPI
- 1013868629
- Entity type
- Individual (NPI-1)
- Name
- Reivan Buenaobra
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 9, 2026
- Certification date
- Feb 9, 2026
- Last updated
- Feb 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WU0100X | Registered Nurse, Urology | R221695 | MD | Yes |
Practice location
2615 E Clinton AveFresno, CA 93703-2223
Phone 559-228-5371
Mailing address
2615 E Clinton AveFresno, CA 93703-2223
Phone 559-228-5371
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