Provider Demographics
NPI:1154030948
Name:LABITIGAN, CAROLINE GASPI-YAZAR (FNP-C)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:GASPI-YAZAR
Last Name:LABITIGAN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46392 LONE PINE DR
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-4141
Mailing Address - Country:US
Mailing Address - Phone:951-308-1129
Mailing Address - Fax:
Practice Address - Street 1:46392 LONE PINE DR
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-4141
Practice Address - Country:US
Practice Address - Phone:951-308-1129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95022124363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily