Provider Demographics
NPI:1326819426
Name:GONZALES, SARINA ALICIA (FNP, RN)
Entity Type:Individual
Prefix:MRS
First Name:SARINA
Middle Name:ALICIA
Last Name:GONZALES
Suffix:
Gender:F
Credentials:FNP, RN
Other - Prefix:MISS
Other - First Name:SARINA
Other - Middle Name:ALICIA
Other - Last Name:DELGADO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PARAMEDIC
Mailing Address - Street 1:6771 N OFELIA DR
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92407-1949
Mailing Address - Country:US
Mailing Address - Phone:909-237-2944
Mailing Address - Fax:
Practice Address - Street 1:1492 W 6TH ST STE M
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92882-6529
Practice Address - Country:US
Practice Address - Phone:909-237-2944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95027191363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily