Provider Demographics
NPI:1508573577
Name:FERNANDEZ, GABRYELA O (RN)
Entity type:Individual
Prefix:
First Name:GABRYELA
Middle Name:O
Last Name:FERNANDEZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 W KERN AVE
Mailing Address - Street 2:
Mailing Address - City:MC FARLAND
Mailing Address - State:CA
Mailing Address - Zip Code:93250-1360
Mailing Address - Country:US
Mailing Address - Phone:833-678-2781
Mailing Address - Fax:661-792-6270
Practice Address - Street 1:217 W KERN AVE
Practice Address - Street 2:
Practice Address - City:MC FARLAND
Practice Address - State:CA
Practice Address - Zip Code:93250
Practice Address - Country:US
Practice Address - Phone:661-792-3038
Practice Address - Fax:661-792-6270
Is Sole Proprietor?:No
Enumeration Date:2022-10-31
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
CA95030364363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program