MISS ANNA O. FRAGOSO C-PNP NPI 1124447313

NPI Information

NPI: 1124447313
Provider Name: MISS ANNA O. FRAGOSO, C-PNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
14446 TAWNEY RIDGE LN
VICTORVILLE, CA
ZIP 92394
Phone: (760) 221-4726
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MISS Anna O. Fragoso, C-PNP is a pediatrics nurse practitioner in Victorville, CA. MISS Anna O. Fragoso, C-PNP NPI is 1124447313. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14446 TAWNEY RIDGE LN
VICTORVILLE, CA
ZIP 92394-210
Phone: (760) 221-4726

The NPI 1124447313 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 4/15/2014 and was last updated on 12/6/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	21714	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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