Provider Demographics
NPI:1619318342
Name:VAN SCHARREL, KRISTEN MACKENZIE (RN, CNP)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:MACKENZIE
Last Name:VAN SCHARREL
Suffix:
Gender:F
Credentials:RN, CNP
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:24422 AVENIDA DE LA CARLOTA STE 300
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-3628
Mailing Address - Country:US
Mailing Address - Phone:949-599-2434
Mailing Address - Fax:949-599-2430
Practice Address - Street 1:300 OLD RIVER RD
Practice Address - Street 2:SUITE 105
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-9503
Practice Address - Country:US
Practice Address - Phone:661-663-4700
Practice Address - Fax:661-663-4740
Is Sole Proprietor?:No
Enumeration Date:2013-07-10
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA95001532363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics