Provider Demographics
NPI:1871519447
Name:ABLIN, IDALIA CORTEZ (FNP)
Entity type:Individual
Prefix:MS
First Name:IDALIA
Middle Name:CORTEZ
Last Name:ABLIN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MISS
Other - First Name:IDALIA
Other - Middle Name:
Other - Last Name:CORTEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN FNP-C
Mailing Address - Street 1:5917 NILES ST
Mailing Address - Street 2:STE 2
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93306-4695
Mailing Address - Country:US
Mailing Address - Phone:661-363-7000
Mailing Address - Fax:661-493-0502
Practice Address - Street 1:5917 NILES ST
Practice Address - Street 2:# 2
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93306-4695
Practice Address - Country:US
Practice Address - Phone:661-363-7000
Practice Address - Fax:661-493-0502
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2018-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAFNP 12569363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q42622Medicare UPIN
Q42622Medicare UPIN