Provider Demographics
NPI:1659764033
Name:ARROZ, EILEEN MAE (FNP)
Entity Type:Individual
Prefix:
First Name:EILEEN
Middle Name:MAE
Last Name:ARROZ
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 GATEWAY BLVD STE 900
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-8418
Mailing Address - Country:US
Mailing Address - Phone:925-429-6409
Mailing Address - Fax:
Practice Address - Street 1:1850 GATEWAY BLVD STE 900
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-8418
Practice Address - Country:US
Practice Address - Phone:925-429-6409
Practice Address - Fax:925-429-6459
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-10
Last Update Date:2015-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA474573363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care