Provider Demographics
NPI:1326250002
Name:ALONSO, ERIN PAIGE (NP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:PAIGE
Last Name:ALONSO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3461 AQUARIUS DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92649-2501
Mailing Address - Country:US
Mailing Address - Phone:562-592-5100
Mailing Address - Fax:562-592-5105
Practice Address - Street 1:16501 PACIFIC COAST HIGHWAY
Practice Address - Street 2:
Practice Address - City:SUNSET BEACH
Practice Address - State:CA
Practice Address - Zip Code:90742
Practice Address - Country:US
Practice Address - Phone:562-592-5100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12992363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner