Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Karisma Ederlyn Agustin Ebora

Individual provider Pediatric Nurse Practitioner · NPI 1619510872

Karisma Ederlyn Agustin Ebora is a Pediatric Nurse Practitioner in Ridgecrest, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

1111 N China Lake Blvd Ste 190
Ridgecrest, CA 93555-3131
Phone: (760) 499-3855
Fax: (760) 499-3870
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 95012836 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95194733 (CA)

Record details

NPI number1619510872
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 21, 2019
Last updated in NPPESMay 17, 2021
Certification dateMay 17, 2021

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