Healthcare Provider Details
I. General information
NPI: 1679735674
Provider Name (Legal Business Name): CATHERINE CEZAR SENINING NP, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/30/2008
Last Update Date: 10/09/2024
Certification Date: 10/09/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4901 ISLANDS DR
BAKERSFIELD CA
93312-1944
US
IV. Provider business mailing address
4901 ISLANDS DR
BAKERSFIELD CA
93312-1944
US
V. Phone/Fax
- Phone: 661-703-3497
- Fax:
- Phone: 661-703-3497
- Fax: 661-829-5393
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 19973 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | 653416 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: