Healthcare Provider Details

I. General information

NPI: 1790169498
Provider Name (Legal Business Name): NORMA MEJIA FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2015
Last Update Date: 06/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8787 HALL RD
LAMONT CA
93241
US

IV. Provider business mailing address

PO BOX 1559
BAKERSFIELD CA
93302-1559
US

V. Phone/Fax

Practice location:
  • Phone: 661-845-3731
  • Fax: 661-845-1157
Mailing address:
  • Phone: 661-635-3050
  • Fax: 661-635-3070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP95002656
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: