Individual
FERNANDA MONTEON IBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
30222 BELMONT CT, AGOURA HILLS, CA 91301-4611
(818) 282-4054
Mailing address
30222 BELMONT CT, AGOURA HILLS, CA 91301-4611
(818) 282-4054
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
NP95012780
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
NP95012780
CA
363LG0600X
Gerontology Nurse Practitioner
NP95012780
CA
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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