Provider Demographics
NPI:1689701732
Name:ESQUIBEL, OLIVIA (FNP)
Entity Type:Individual
Prefix:MRS
First Name:OLIVIA
Middle Name:
Last Name:ESQUIBEL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:351 S HUDSON AVE RM 30
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-3507
Mailing Address - Country:US
Mailing Address - Phone:626-568-4500
Mailing Address - Fax:626-578-1204
Practice Address - Street 1:351 S. HUDSON AVE., ROOM 30
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:AR
Practice Address - Zip Code:91711
Practice Address - Country:US
Practice Address - Phone:626-568-4500
Practice Address - Fax:626-578-1204
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA269133363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily