Provider Demographics
NPI:1821179565
Name:ARDEVELA, ESTER CRISTOBAL (NP)
Entity Type:Individual
Prefix:MRS
First Name:ESTER
Middle Name:CRISTOBAL
Last Name:ARDEVELA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4361 LATHAM ST
Mailing Address - Street 2:SUITE 150
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92501-1730
Mailing Address - Country:US
Mailing Address - Phone:951-274-0888
Mailing Address - Fax:951-274-9249
Practice Address - Street 1:1820 FULLERTON AVE
Practice Address - Street 2:SUITE 150
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92881-3160
Practice Address - Country:US
Practice Address - Phone:951-736-6757
Practice Address - Fax:951-736-0167
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA13465363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner