Nurse Practitioner, Pediatrics
MARIE DETHOMAS NP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1811353196 · enumerated 2016-01-03 · record updated 2016-01-03. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 12931 EVERMAY CT, RANCHO CUCAMONGA, CA, 91739-9244 (909) 261-2846 Google Maps Apple Maps OpenStreetMap
- Practice location 10399 LEMON AVE STE 101, RANCHO CUCAMONGA, CA, 91737-3771 (909) 466-7337 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License 95002884 CA
In this directory
CA San Bernardino County Rancho Cucamonga Nurse Practitioner, Pediatrics
Locations and evidence
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Practice location
RANCHO CUCAMONGA, CA, 917373771
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.