Provider Demographics
NPI:1679712970
Name:BOQUIREN, NORMA NERI (RN)
Entity Type:Individual
Prefix:MISS
First Name:NORMA
Middle Name:NERI
Last Name:BOQUIREN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10287 N. SIERRA VISTA AVE.
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93730-4726
Mailing Address - Country:US
Mailing Address - Phone:310-895-8024
Mailing Address - Fax:
Practice Address - Street 1:10287 N. SIERRA VISTA AVE.
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93730-4726
Practice Address - Country:US
Practice Address - Phone:310-895-8024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-10
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA665721163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse