Provider Demographics
NPI:1962680728
Name:SOTO-FRISBY, ERNESTINA G (FNP)
Entity Type:Individual
Prefix:MRS
First Name:ERNESTINA
Middle Name:G
Last Name:SOTO-FRISBY
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 1:10657 SIERRA VIEW ST
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93636-7423
Mailing Address - Country:US
Mailing Address - Phone:559-224-2639
Mailing Address - Fax:
Practice Address - Street 1:1101 E UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93741-5279
Practice Address - Country:US
Practice Address - Phone:559-244-2639
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-04
Last Update Date:2016-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA511212163WG0000X
CA12942363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice