LAVERNI CANONIGO SUICO FNP-C NPI 1396534335

NPI Information

  • NPI: 1396534335
  • Provider Name: LAVERNI CANONIGO SUICO, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 4989 AGAVE AVE
    FONTANA, CA
    ZIP 92336
  • Phone: (323) 447-3068

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NPI Details

Laverni Canonigo Suico, FNP-C is a family nurse practitioner in Fontana, CA. Laverni Canonigo Suico, FNP-C NPI is 1396534335. 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:

4989 AGAVE AVE
FONTANA, CA
ZIP 92336-961
Phone: (323) 447-3068

The enumeration date for this NPI number is 5/5/2025 and was last updated on 5/5/2025.

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
1363LF0000XNurse PractitionerFamily95030500CALIFORNIAYes

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: 3/30/2025

NPI Synchronization or Removal

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