Individual provider · Type 1 NPI

Elisha Mariel Espino, FNP

Nurse Practitioner · Glendora, CA

NPI number 1124832449 Active

Practice location

412 W Carroll Ave Ste 204
Glendora, CA 91741-4711

Mailing address

5563 Soria Dr
Ontario, CA 91762-7646

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95031730 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1124832449

Elisha Mariel Espino, FNP's National Provider Identifier is 1124832449, issued on Feb 5, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Glendora, CA. The record was last updated on Feb 5, 2025.