Provider Demographics
NPI:1720853096
Name:URIBE, ANA ELIZABETH (FNP-BC)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:ELIZABETH
Last Name:URIBE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:ANA
Other - Middle Name:
Other - Last Name:URIBE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:3017 MINFORD ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93536-8393
Mailing Address - Country:US
Mailing Address - Phone:661-417-1634
Mailing Address - Fax:
Practice Address - Street 1:3017 MINFORD ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93536-8393
Practice Address - Country:US
Practice Address - Phone:661-417-1634
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-16
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95027163363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily