person
Mrs. Conchita Esther Portilla, NURSEPRACTITIONERP
Pediatric Nurse Practitioner in Colton, California
NPI 1649232075

Conchita Esther Portilla is a Pediatric Nurse Practitioner based in Colton, CA and is specialized in Pediatrics. Conchita Esther Portilla practices in Colton, CA and has the professional credentials of NURSEPRACTITIONERP. The NPI Number for Conchita Esther Portilla is 1649232075 and holds a License No. 402401 (California).

The current practice location address for Conchita Esther Portilla is 400 N Pepper Ave, Colton, CA and can be reached out via phone at 909-498-6277 and via fax at 909-580-3235.

Location: 400 N Pepper Ave, Colton, CA, 92324-1819
person
Provider Profile Details
NPI Number
1649232075
Provider Name
Conchita Esther Portilla
Credential
NURSEPRACTITIONERP
Provider Entity Type
Individual
Gender
Female
Address
400 N Pepper Ave, Colton, CA, 92324-1819
Phone Number
909-498-6277
Fax Number
909-580-3235
Provider Enumeration Date
04/03/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
400 N Pepper Ave
City
State
Zip
92324-1819
Phone Number
909-498-6277
Fax Number
909-580-3235
person
Provider Business Mailing Address Details
Address
400 N Pepper Ave
City
State
Zip
92324-1819
Phone Number
909-498-6277
Fax Number
909-580-3235
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
402401 (California)
Definition
Definition to come...
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