Provider Demographics
NPI:1841752748
Name:MONTEZ, ANALU G (LVN)
Entity Type:Individual
Prefix:
First Name:ANALU
Middle Name:G
Last Name:MONTEZ
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:ANALU
Other - Middle Name:G
Other - Last Name:GUTIERREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LVN
Mailing Address - Street 1:3919 PARK VIEW DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-1447
Mailing Address - Country:US
Mailing Address - Phone:661-303-3041
Mailing Address - Fax:
Practice Address - Street 1:3919 PARK VIEW DR
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-1447
Practice Address - Country:US
Practice Address - Phone:661-303-3041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-01
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN274113164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse