Healthcare Provider Details

I. General information

NPI: 1922235662
Provider Name (Legal Business Name): REINA ABEYTA MSN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2009
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1630 E MAIN ST
EL CAJON CA
92021-5204
US

IV. Provider business mailing address

1630 E MAIN ST
EL CAJON CA
92021-5204
US

V. Phone/Fax

Practice location:
  • Phone: 833-574-2273
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number18273
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: