=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881168714
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CLAUDIA AWAMLEH FNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/14/2019
-----------------------------------------------------
Last Update Date | 08/15/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5 LOWER RAGSDALE DR STE 100
-----------------------------------------------------
City | MONTEREY
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93940-5817
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 831-624-7070
-----------------------------------------------------
Fax | 831-624-3612
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4309 STAGECOACH RD
-----------------------------------------------------
City | DUNSMUIR
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 96025-1812
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 530-235-4138
-----------------------------------------------------
Fax | 530-678-2453
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 95010847
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------