Healthcare Provider Details

I. General information

NPI: 1912794710
Provider Name (Legal Business Name): SYLVIA CRISTINA PABON ANDRACA MSN, ACCNS-N, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2025
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15031 RINALDI ST
MISSION HILLS CA
91345-1207
US

IV. Provider business mailing address

166 MERRILL AVE
SIERRA MADRE CA
91024-1920
US

V. Phone/Fax

Practice location:
  • Phone: 818-469-2380
  • Fax:
Mailing address:
  • Phone: 818-415-3747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SN0000X
TaxonomyNeonatal Clinical Nurse Specialist
License Number5038
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: