Provider Demographics
NPI:1912233446
Name:CUEVAS, MICHELLE KATHLYNE (DNP, FNP-C)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:KATHLYNE
Last Name:CUEVAS
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25395 HANCOCK AVE STE 230
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-9054
Mailing Address - Country:US
Mailing Address - Phone:405-496-0793
Mailing Address - Fax:951-677-6676
Practice Address - Street 1:25395 HANCOCK AVE STE 230
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-9054
Practice Address - Country:US
Practice Address - Phone:951-677-6670
Practice Address - Fax:951-677-6676
Is Sole Proprietor?:No
Enumeration Date:2009-10-17
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21868363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner