Provider Demographics
NPI:1629370945
Name:BERNALES-ALBA, ELIT JANURAS (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:ELIT
Middle Name:JANURAS
Last Name:BERNALES-ALBA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MISS
Other - First Name:ELIT
Other - Middle Name:JANURAS
Other - Last Name:BERNALES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:801 N TARRANT PKWY
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-6860
Mailing Address - Country:US
Mailing Address - Phone:954-610-3781
Mailing Address - Fax:
Practice Address - Street 1:801 N TARRANT PKWY
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-6860
Practice Address - Country:US
Practice Address - Phone:817-428-5558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-18
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP127648363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily