Healthcare Provider Details

I. General information

NPI: 1821511387
Provider Name (Legal Business Name): ARMELA ARAMIAN NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2017
Last Update Date: 08/11/2022
Certification Date: 08/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2727 MACDONALD AVE
RICHMOND CA
94804-3006
US

IV. Provider business mailing address

820 SHEVLIN DR
EL CERRITO CA
94530-3051
US

V. Phone/Fax

Practice location:
  • Phone: 510-213-6681
  • Fax: 510-213-6680
Mailing address:
  • Phone: 925-487-7474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95003630
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: