Provider Demographics
NPI:1598132185
Name:PAGKALINAWAN, MARIBEL MARAMARA (FNP)
Entity Type:Individual
Prefix:
First Name:MARIBEL
Middle Name:MARAMARA
Last Name:PAGKALINAWAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:18350 ROSCOE BLVD STE 600
Mailing Address - Street 2:STE 600
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91325-4187
Mailing Address - Country:US
Mailing Address - Phone:818-727-1515
Mailing Address - Fax:818-727-7997
Practice Address - Street 1:18350 ROSCOE BLVD STE 600
Practice Address - Street 2:STE 600
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91325-4187
Practice Address - Country:US
Practice Address - Phone:818-727-1515
Practice Address - Fax:818-727-7997
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-31
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95002670363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily