Provider Demographics
NPI:1699363341
Name:URIBE, ANU ISSAC (RN)
Entity Type:Individual
Prefix:
First Name:ANU
Middle Name:ISSAC
Last Name:URIBE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12502 STEMPLE DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-5801
Mailing Address - Country:US
Mailing Address - Phone:559-380-5846
Mailing Address - Fax:
Practice Address - Street 1:12502 STEMPLE DR
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-5801
Practice Address - Country:US
Practice Address - Phone:559-380-5846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-07
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95134442163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health