Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Gweneth Fontanilla

Individual provider Nurse Practitioner · NPI 1073421814

Gweneth Fontanilla is a Nurse Practitioner in Forest Hills, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

6741 Burns St Apt 105
Forest Hills, NY 11375-3552
Phone: (404) 717-3062
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 409070 (NY)

Record details

NPI number1073421814
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedSeptember 1, 2026
Last updated in NPPESSeptember 1, 2026
Certification dateSeptember 1, 2026

Other providers in Forest Hills