Provider Demographics
NPI:1700598307
Name:ALDABA FLORES, BRENDI YANET (RN)
Entity Type:Individual
Prefix:MRS
First Name:BRENDI
Middle Name:YANET
Last Name:ALDABA FLORES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:BRENDI
Other - Middle Name:YANET
Other - Last Name:ALDABA REGALADO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:501 N GLENDALE AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91206-3312
Mailing Address - Country:US
Mailing Address - Phone:818-291-8910
Mailing Address - Fax:818-291-8910
Practice Address - Street 1:501 N GLENDALE AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91206-3312
Practice Address - Country:US
Practice Address - Phone:818-291-8910
Practice Address - Fax:818-291-8968
Is Sole Proprietor?:No
Enumeration Date:2022-12-15
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA819174163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care