Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. CONCHITA ESTHER PORTILLA, NURSE PRACTITIONER P
Active Sole ProprietorMRS. CONCHITA ESTHER PORTILLA, NURSE PRACTITIONER P is a Pediatric Nurse Practitioner healthcare provider located in COLTON, California. NPI 1649232075 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · COLTON, CA
Registration Details
- NPI Number
- 1649232075
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 3, 2006 (20.393900971372 yrs)
- Last Updated
- Dec 22, 2014
- License
-
402401 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
400 N PEPPER AVEPEDIATRICS ADMINISTRATIONCOLTON, CA, 923241819Browse CA providers · Browse ZIP 92324
- Phone
- 9094986277
- Fax
- 9095803235
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
Other Pediatric Nurse Practitioner Providers in COLTON, CA
| Name | Credential | NPI |
|---|---|---|
| HLAHLA MYET THWE | — | 1841891710 |
| MRS. GEENA ANDREA LIMOSO DEMETILLO | — | 1699518027 |
| MR. MARTIN GILLETTE | FNP | 1275414922 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.