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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS AUTUMN LECI FORNASERO, M.S. PA-C

Active

MISS AUTUMN LECI FORNASERO, M.S. PA-C is a Medical Physician Assistant healthcare provider located in BRAWLEY, California. NPI 1124300959 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · BRAWLEY, CA

Registration Details

NPI Number
1124300959
Provider Type
Individual
Gender
Female
NPI Issued
Sep 19, 2011 (14.859246363197 yrs)
Last Updated
Dec 6, 2021
License
PA21802 (CA)

Practice Information

Address
207 W LEGION RD
BRAWLEY, CA, 922277780
Browse CA providers · Browse ZIP 92227
Phone
7603513333
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in BRAWLEY, CA

Name Credential NPI
MR. HAROLD THOMAS FRANK MS PAC 1851405989
VERONICA MONTENEGRO-JAUREGUI PHYSICIAN ASSISTANT 1336316025
OMAYRA MONTALVO PA 1114354404
ALEXANDRA TAYLOR 1932629128
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.