Olivia Esquibel, FNP

Individual provider Active NPI Family Nurse Practitioner · Pasadena, AR

NPI 1689701732 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1689701732
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
269133 (CA)
Practice address
351 S. Hudson Ave., Room 30
Pasadena, AR 91711
Phone
(626) 568-4500
Fax
(626) 578-1204
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
269133CAMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 269133 CA Yes

Addresses

Primary practice location

351 S. Hudson Ave., Room 30
Pasadena, AR 91711

Mailing address

351 S Hudson Ave RM 30
Pasadena, CA 91101-3507
Phone (626) 568-4500

Sources for this page

Verify at the official NPI Registry.