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NPI Code Detail

MEDICARE: MS. CECILIA WINIFRED ABBAN FNP

MEDICARE:  MS. CECILIA WINIFRED ABBAN  FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner497994CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
112875OTHERCANPFURNISHING

General Provider Information

NPI Number : 1437121605
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CECILIA WINIFRED ABBAN FNP
Provider Business Mailing Address
First Line : 28402 CRISPIN DR
Second Line :
City : MORENO VALLEY
State : CA
Zip : 92555-6032
Country : US
Telephone Number : 951-415-4248
Fax Number :
Provider Business Practice Location Address
First Line : 393 E WALNUT ST
Second Line : 15272 SUMMIT AVENUE. FONTANA, CA 92336
City : PASADENA
State : CA
Zip : 91188-0001
Country : US
Telephone Number : 626-405-3602
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2006
Last Update Date : 05/17/2023

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