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NPI 1669202776 · live from the CMS NPI Registry

Anaivis Alfonso Gonzalez, FNP

Nurse Practitioner, Obstetrics & Gynecology in Fontana, CA. National Provider Identifier 1669202776, active.

NPI record

NPI1669202776 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Obstetrics & Gynecology 363LX0001X
Practice location7965 Sierra Ave Ste E, Fontana, CA 92336
Practice phone909-356-4459
Mailing address6068 Ida Ct, Chino, CA 91710
EnumeratedAugust 5, 2024
Last updatedAugust 5, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Obstetrics & Gynecology primary363LX0001X95030579 (CA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.