Provider Demographics
NPI:1912349291
Name:ARBO, MA ANA LEON (FNP)
Entity Type:Individual
Prefix:
First Name:MA ANA
Middle Name:LEON
Last Name:ARBO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:MA ANA BASILIA
Other - Middle Name:LEON
Other - Last Name:ARBO TIU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:3349 G ST STE C
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-0978
Mailing Address - Country:US
Mailing Address - Phone:209-383-1848
Mailing Address - Fax:209-383-1296
Practice Address - Street 1:3349 G ST STE C
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-0978
Practice Address - Country:US
Practice Address - Phone:209-580-4638
Practice Address - Fax:209-580-4163
Is Sole Proprietor?:No
Enumeration Date:2013-07-26
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA690751163W00000X
CA23097363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse