Provider Demographics
NPI:1821334079
Name:NAVAS, LOURDES FABIANA (RN)
Entity Type:Individual
Prefix:
First Name:LOURDES
Middle Name:FABIANA
Last Name:NAVAS
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 1:6110 SPRINGFORD DR
Mailing Address - Street 2:APT D3
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17111-4815
Mailing Address - Country:US
Mailing Address - Phone:717-635-9315
Mailing Address - Fax:
Practice Address - Street 1:1500 MEMORY LANE EXT
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-9601
Practice Address - Country:US
Practice Address - Phone:717-757-5433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-17
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN592733163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse