Provider Demographics
NPI:1962104752
Name:OCHOA, AHBLELA R (APRN)
Entity type:Individual
Prefix:MISS
First Name:AHBLELA
Middle Name:R
Last Name:OCHOA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10337 WINDLEY KEY TER
Mailing Address - Street 2:
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34135-6608
Mailing Address - Country:US
Mailing Address - Phone:239-273-4116
Mailing Address - Fax:
Practice Address - Street 1:10337 WINDLEY KEY TER
Practice Address - Street 2:
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34135-6608
Practice Address - Country:US
Practice Address - Phone:239-273-4116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-17
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11025314363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics