Marianna Gioconda Cisneros, FNP-C
Nurse Practitioner in La Mesa, CA. Individual provider (NPI-1).
NPI number1760200331
StatusActive
Last updated in NPPESOct 1, 2024
Details
- NPI
- 1760200331
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Marianna Gioconda Cisneros
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 1, 2024
- Certification date
- Oct 1, 2024
- Last updated
- Oct 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 95029343 | CA | Yes |
Practice location
4138 Charles StLa Mesa, CA 91941-7521
Phone 619-894-4004
Mailing address
4138 Charles StLa Mesa, CA 91941-7521
Phone 619-894-4004 · Fax 619-894-4004
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All 29 Nurse Practitioner providers in La Mesa · All 2,882 providers in La Mesa
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