IndividualActive
Suzette Pornelos, RN
NPI 1114752805 · Hospice Registered Nurse · Ontario, CA
Provider details
- NPI number
- 1114752805
- Entity type
- Individual
- Primary specialty
- Hospice Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 786944 (CA)
Practice location
2910 Inland Empire Blvd
Ontario, CA 91764-4896
Phone: (909) 522-4093
Mailing address
13393 Mariposa Rd Spc 213
Victorville, CA 92395-5328
Registry dates
- Enumerated
- 2024-09-03
- Last updated
- 2024-09-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.