Provider Demographics
NPI:1184451510
Name:NERLAND, LONDA (ATP)
Entity type:Individual
Prefix:
First Name:LONDA
Middle Name:
Last Name:NERLAND
Suffix:
Gender:F
Credentials:ATP
Other - Prefix:
Other - First Name:LONDA
Other - Middle Name:
Other - Last Name:SANDLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:392 HUNTINGTON AVE S
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93636-9009
Mailing Address - Country:US
Mailing Address - Phone:559-289-6173
Mailing Address - Fax:
Practice Address - Street 1:1752 E BULLARD AVE STE 101
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-5864
Practice Address - Country:US
Practice Address - Phone:559-970-8277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAATP4163225500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225500000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/Technologist