Provider Demographics
NPI:1255113726
Name:GAMINO-ALVAREZ, ANA PATRICIA (LVN)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:PATRICIA
Last Name:GAMINO-ALVAREZ
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:ANA
Other - Middle Name:PATRICIA
Other - Last Name:ALVAREZ ZEPEDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:721 8TH ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93304-2224
Mailing Address - Country:US
Mailing Address - Phone:661-326-9700
Mailing Address - Fax:661-324-7287
Practice Address - Street 1:721 8TH ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93304-2224
Practice Address - Country:US
Practice Address - Phone:661-326-9700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-18
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA712642164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse