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NPI Code Detail

MEDICARE: MRS. BERNADETTE MARIE ALVARNAS FNP

MEDICARE: MRS. BERNADETTE MARIE ALVARNAS FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner95000681CA

General Provider Information

NPI Number : 1952706129
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BERNADETTE MARIE ALVARNAS FNP
Provider Business Mailing Address
First Line : 1171 N LOPEZ LN
Second Line :
City : AZUSA
State : CA
Zip : 91702-6295
Country : US
Telephone Number : 626-327-7632
Fax Number : 626-804-3167
Provider Business Practice Location Address
First Line : 1401 S BALDWIN AVE
Second Line :
City : ARCADIA
State : CA
Zip : 91007-7922
Country : US
Telephone Number : 626-445-1284
Fax Number : 626-445-1284
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2014
Last Update Date : 03/14/2017

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