Provider Demographics
NPI:1043885270
Name:ESTRADA, MARIA ISABEL (FNP)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ISABEL
Last Name:ESTRADA
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 SOUTH TODD ROAD
Mailing Address - Street 2:
Mailing Address - City:SANTA PAULA
Mailing Address - State:CA
Mailing Address - Zip Code:93060
Mailing Address - Country:US
Mailing Address - Phone:805-933-8556
Mailing Address - Fax:805-933-8581
Practice Address - Street 1:600 SOUTH TODD ROAD
Practice Address - Street 2:
Practice Address - City:SANTA PAULA
Practice Address - State:CA
Practice Address - Zip Code:93060
Practice Address - Country:US
Practice Address - Phone:805-933-8556
Practice Address - Fax:805-933-8581
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-20
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95017328363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner