Provider Demographics
NPI:1346583390
Name:ARMENIA, JOANNE ELIZABETH (ANP)
Entity Type:Individual
Prefix:PROF
First Name:JOANNE
Middle Name:ELIZABETH
Last Name:ARMENIA
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4901 E CARSON ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90808-1706
Mailing Address - Country:US
Mailing Address - Phone:562-938-4908
Mailing Address - Fax:
Practice Address - Street 1:4901 E CARSON ST
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90808-1706
Practice Address - Country:US
Practice Address - Phone:562-938-4908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-28
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA301025363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health