Provider Demographics
NPI:1356559512
Name:ALPUERTO MARCHENA, CELINA (NP)
Entity type:Individual
Prefix:MRS
First Name:CELINA
Middle Name:
Last Name:ALPUERTO MARCHENA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:CELINA
Other - Middle Name:J
Other - Last Name:MARCHENA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:3413 VOLK AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90808-3026
Mailing Address - Country:US
Mailing Address - Phone:562-234-4582
Mailing Address - Fax:
Practice Address - Street 1:1011 BALDWIN PARK BLVD
Practice Address - Street 2:
Practice Address - City:BALDWIN PARK
Practice Address - State:CA
Practice Address - Zip Code:91706-5806
Practice Address - Country:US
Practice Address - Phone:626-851-5629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-20
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP 16035363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily