Provider Demographics
NPI:1497642151
Name:FAUSTO, ARLINA VANESSA (BSN-RN)
Entity type:Individual
Prefix:MRS
First Name:ARLINA
Middle Name:VANESSA
Last Name:FAUSTO
Suffix:
Gender:F
Credentials:BSN-RN
Other - Prefix:
Other - First Name:ARLINA
Other - Middle Name:VANESSA
Other - Last Name:GOMEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BSN-RN
Mailing Address - Street 1:12357 SENECIO AVE
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92395-8667
Mailing Address - Country:US
Mailing Address - Phone:760-680-6388
Mailing Address - Fax:
Practice Address - Street 1:19333 BEAR VALLEY RD
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92308-5148
Practice Address - Country:US
Practice Address - Phone:760-241-6666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95238430163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse