Provider Demographics
NPI:1154090744
Name:NARVAEZ, AKSEL (DNP, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:AKSEL
Middle Name:
Last Name:NARVAEZ
Suffix:
Gender:M
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2417 MARSHALL AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:IMPERIAL
Mailing Address - State:CA
Mailing Address - Zip Code:92251-9401
Mailing Address - Country:US
Mailing Address - Phone:760-355-0161
Mailing Address - Fax:
Practice Address - Street 1:2417 MARSHALL AVE STE 1
Practice Address - Street 2:
Practice Address - City:IMPERIAL
Practice Address - State:CA
Practice Address - Zip Code:92251-9401
Practice Address - Country:US
Practice Address - Phone:760-355-0161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-08
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95018332363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner