Individual provider · NPI-1

Kelly Anne Arciniega, NP

Nurse Practitioner, Pediatrics · San Bernardino, CA

NPI number1285907469

StatusActive

Last updated in NPPESJan 8, 2016

Details

NPI: 1285907469
Entity type: Individual (NPI-1)
Name: Kelly Anne Arciniega
Credential: NP
Sex: Female
Sole proprietor: Yes
Enumeration date: Feb 17, 2012
Last updated: Jan 8, 2016

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LP0200X	Nurse Practitioner, Pediatrics	19063	CA	Yes

Practice location

700 E Gilbert St
San Bernardino, CA 92415-1003

Phone 909-382-3535 · Fax 909-383-3830

Mailing address

11234 Anderson St
Llumc Room 6700-H, Advanced Practice Services
Loma Linda, CA 92354-2804

Phone 909-558-7320 · Fax 909-558-7873

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.