Individual
SUMMER ROSE FELCYN-GHENCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
30300 CAMINO CAPISTRANO, SAN JUAN CAPISTRANO, CA 92675-1304
(949) 240-2272
Mailing address
28486 LA FALDA, LAGUNA NIGUEL, CA 92677-4409
(808) 366-9919
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95169103
CA
363LW0102X
Women's Health Nurse Practitioner
Primary
95022825
CA
Other
Enumeration date
09/30/2022
Last updated
08/20/2023
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