Provider Demographics
NPI:1639166937
Name:URSUA, NOEL ESCARA (FNP)
Entity Type:Individual
Prefix:
First Name:NOEL
Middle Name:ESCARA
Last Name:URSUA
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4820 VIA DEL CORRAL
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92887-1817
Mailing Address - Country:US
Mailing Address - Phone:714-932-4215
Mailing Address - Fax:
Practice Address - Street 1:4820 VIA DEL CORRAL
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92887-1817
Practice Address - Country:US
Practice Address - Phone:714-932-4215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-02
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN 500702 NPF 10760363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily