Provider Demographics
NPI:1982828786
Name:ABATE, EMMA LOU VARGAS (LVN)
Entity Type:Individual
Prefix:
First Name:EMMA LOU
Middle Name:VARGAS
Last Name:ABATE
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2994 E ASHLAN AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93726-3304
Mailing Address - Country:US
Mailing Address - Phone:559-229-6773
Mailing Address - Fax:
Practice Address - Street 1:2994 E ASHLAN AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93726-3304
Practice Address - Country:US
Practice Address - Phone:559-229-6773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN182274164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse