Provider Demographics
NPI:1366923823
Name:NOBLEZA, EDGAR QUINES (FNP-C)
Entity type:Individual
Prefix:MR
First Name:EDGAR
Middle Name:QUINES
Last Name:NOBLEZA
Suffix:
Gender:M
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 1:4813 COFFEE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93308-9473
Mailing Address - Country:US
Mailing Address - Phone:661-431-2057
Mailing Address - Fax:
Practice Address - Street 1:1508 GARCES HWY STE 1
Practice Address - Street 2:
Practice Address - City:DELANO
Practice Address - State:CA
Practice Address - Zip Code:93215-3607
Practice Address - Country:US
Practice Address - Phone:661-725-4780
Practice Address - Fax:661-725-1048
Is Sole Proprietor?:No
Enumeration Date:2018-08-23
Last Update Date:2019-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAF08180838363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily