Provider Demographics
NPI:1225818420
Name:ARENAZA, CEFERINA A I
Entity Type:Individual
Prefix:MRS
First Name:CEFERINA
Middle Name:A
Last Name:ARENAZA
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4313 MOUNTAIN VIEW DR
Mailing Address - Street 2:
Mailing Address - City:HAYMARKET
Mailing Address - State:VA
Mailing Address - Zip Code:20169-2121
Mailing Address - Country:US
Mailing Address - Phone:703-835-7320
Mailing Address - Fax:
Practice Address - Street 1:4313 MOUNTAIN VIEW DR
Practice Address - Street 2:
Practice Address - City:HAYMARKET
Practice Address - State:VA
Practice Address - Zip Code:20169-2121
Practice Address - Country:US
Practice Address - Phone:703-835-7320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide