EVA ISLA CRISTOBAL


Address: 542 E Plymouth St, Glendora, CA 91740-6081
Phone: (626) 914-2848

EVA ISLA CRISTOBAL (NPI# 1184146631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184146631
Entity Type Individual
Full Name EVA ISLA CRISTOBAL
Credential RN, MSN,AGNP-C
Practice Address 542 E Plymouth St
Glendora
CA 91740-6081
Practice Telephone (626) 914-2848
Mailing Telephone 6269142848
Enumeration Date 2017-07-15
Last Update Date 2017-07-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
95006511 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 542 E PLYMOUTH ST
City GLENDORA
State CA
Zip Code 91740-6081

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Competitor

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City GLENDORA
Zip Code 91740

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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