Healthcare Provider Details

I. General information

NPI: 1679168389
Provider Name (Legal Business Name): MA ELENA AGUILAR NARTEA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MA ELENA GUTIERREZ AGUILAR NP

II. Dates (important events)

Enumeration Date: 03/04/2021
Last Update Date: 12/22/2023
Certification Date: 08/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3805 SAN DIMAS ST STE B
BAKERSFIELD CA
93301-5725
US

IV. Provider business mailing address

3805 SAN DIMAS ST STE B
BAKERSFIELD CA
93301-5724
US

V. Phone/Fax

Practice location:
  • Phone: 661-326-9999
  • Fax:
Mailing address:
  • Phone: 661-304-0396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95016811
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberF12200737
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: