Healthcare Provider Details

I. General information

NPI: 1508573577
Provider Name (Legal Business Name): GABRYELA O FERNANDEZ RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2022
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 S LEXINGTON ST
DELANO CA
93215-3693
US

IV. Provider business mailing address

325 S LEXINGTON ST
DELANO CA
93215-3693
US

V. Phone/Fax

Practice location:
  • Phone: 833-678-2781
  • Fax: 661-845-5309
Mailing address:
  • Phone: 833-678-2781
  • Fax: 661-845-5309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95030364
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: