Doctor Name: | ESTELA H CUELLAR |
NPI Number: | 1134389182 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 475186 |
Business Practice Address: | 2065 Keystone Pacific Pkwy Patterson, CA - 953638865 |
Business Phone Number: | 2098954712 |
Business Fax Number: | 2098954721 |
Mailing Address: | 2065 Keystone Pacific Pkwy, PATTERSON |
State: | CA |
Postal Code: | 953638865 |
Phone Number: | 2098954712 |
Fax Number: | 2098954721 |
NPI Enumeration Date: | 06/12/2008 |
NPI Last Update Date: | 02/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SW0102X |
License Number: | 475186 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |