Healthcare Provider Details

I. General information

NPI: 1841325040
Provider Name (Legal Business Name): CHERRY ANN GABUYA OCULAM RN MS CFNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHERRY ANN CASTANARES GABUYA RN

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 CANYON VIEW LN
REDLANDS CA
92373-6975
US

IV. Provider business mailing address

2020 CANYON VIEW LN
REDLANDS CA
92373-6975
US

V. Phone/Fax

Practice location:
  • Phone: 909-792-7366
  • Fax:
Mailing address:
  • Phone: 909-792-7366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License NumberV381305
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: