Provider Demographics
NPI:1871679613
Name:BRIBIESCA, ROSA M (NP NURSE PRACTITIONE)
Entity Type:Individual
Prefix:
First Name:ROSA
Middle Name:M
Last Name:BRIBIESCA
Suffix:
Gender:F
Credentials:NP NURSE PRACTITIONE
Other - Prefix:
Other - First Name:ROSA
Other - Middle Name:M
Other - Last Name:PULIDO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1814 W LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-6730
Mailing Address - Country:US
Mailing Address - Phone:714-635-0593
Mailing Address - Fax:714-780-5696
Practice Address - Street 1:1814 W LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-6730
Practice Address - Country:US
Practice Address - Phone:714-635-0593
Practice Address - Fax:714-780-5696
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN500207207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology