Provider Demographics
NPI:1114732872
Name:CABATINGAN, MARIA ROWENA TAN (FNP)
Entity type:Individual
Prefix:
First Name:MARIA ROWENA
Middle Name:TAN
Last Name:CABATINGAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 E 1ST ST UNIT 110
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-2476
Mailing Address - Country:US
Mailing Address - Phone:701-500-7279
Mailing Address - Fax:
Practice Address - Street 1:11428 ARTESIA BLVD STE 5
Practice Address - Street 2:
Practice Address - City:ARTESIA
Practice Address - State:CA
Practice Address - Zip Code:90701-3870
Practice Address - Country:US
Practice Address - Phone:562-534-0001
Practice Address - Fax:562-306-5299
Is Sole Proprietor?:No
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95026912363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily