Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
REIVAN BUENAOBRA, RN
Active Sole ProprietorUrology Nurse · FRESNO, CA
Registration Details
- NPI Number
- 1013868629
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 9, 2026 (0.19911949667234 yrs)
- Last Updated
- Feb 9, 2026
- License
-
R221695 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2615 E CLINTON AVEFRESNO, CA, 937032223Browse CA providers · Browse ZIP 93703
- Phone
- 5592285371
- Primary Specialty
-
Urology Nurse
163WU0100X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.