Provider Demographics
NPI:1609201185
Name:NUESA, CHRISTOPHER SAMONTE (FNP)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:SAMONTE
Last Name:NUESA
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25877 MCBEAN PKWY UNIT 47
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-2062
Mailing Address - Country:US
Mailing Address - Phone:818-415-3370
Mailing Address - Fax:
Practice Address - Street 1:25877 MCBEAN PKWY UNIT 47
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-2062
Practice Address - Country:US
Practice Address - Phone:818-415-3370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-04
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23530363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily