Individual provider · NPI-1

Anaivis Alfonso Gonzalez, FNP

Nurse Practitioner, Obstetrics & Gynecology · Fontana, CA

NPI number1669202776
StatusActive
Last updated in NPPESAug 5, 2024

Details

NPI
1669202776
Entity type
Individual (NPI-1)
Name
Anaivis Alfonso Gonzalez
Credential
FNP
Sex
Female
Sole proprietor
No
Enumeration date
Aug 5, 2024
Certification date
Aug 5, 2024
Last updated
Aug 5, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LX0001X Nurse Practitioner, Obstetrics & Gynecology95030579CAYes

Practice location

7965 Sierra Ave Ste E
Fontana, CA 92336-3329

Phone 909-356-4459

Mailing address

6068 Ida Ct
Chino, CA 91710-4442

Phone 310-697-6407

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