Divina Fernandez, NURSE PRACTITIONER

NPI 1750653929 · on the registry since 2012

Practice

Address: 1801 E. March Lane
Ste C320
Stockton, CA 95210
Phone: (209) 957-5888
Fax: (209) 477-9339
Organisation at this address: Stockton Medical Weight Loss Center Inc
Pacific Heart And Vascular Medical Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 363L00000X
363L00000X
Also registered as: 163W00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-02-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California