Healthcare Provider Details
I. General information
NPI: 1972396687
Provider Name (Legal Business Name): VERONICA GSCHWENG FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/26/2025
Last Update Date: 05/26/2025
Certification Date: 05/26/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1401 W 1ST ST STE 101
SANTA ANA CA
92703-3757
US
IV. Provider business mailing address
5231 CANTERBURY DR
CYPRESS CA
90630-3737
US
V. Phone/Fax
- Phone: 714-542-9700
- Fax: 714-542-9708
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 95030621 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: