Healthcare Provider Details

I. General information

NPI: 1881274405
Provider Name (Legal Business Name): MRS. GERALDINE DULLAS LAPLANA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2021
Last Update Date: 05/21/2021
Certification Date: 05/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5030 OFFICE PARK DRIVE
BAKERSFIELD CA
93309
US

IV. Provider business mailing address

4507 CHALET ST
BAKERSFIELD CA
93313-2056
US

V. Phone/Fax

Practice location:
  • Phone: 661-323-2847
  • Fax: 661-323-2261
Mailing address:
  • Phone: 661-431-3787
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95017183
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: