Provider Demographics
NPI:1174832372
Name:NAVARRETE, ADRIANA GABRIELA (RN)
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:GABRIELA
Last Name:NAVARRETE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1749 N HOLBROOK ST
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92807-1011
Mailing Address - Country:US
Mailing Address - Phone:626-826-6387
Mailing Address - Fax:
Practice Address - Street 1:1749 N HOLBROOK ST
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807-1011
Practice Address - Country:US
Practice Address - Phone:626-826-6387
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-05
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN740631163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse