Provider Demographics
NPI:1801961958
Name:ALOMARI, ELIZABETH (FNP)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:
Last Name:ALOMARI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4580 CALIFORNIA AVE
Mailing Address - Street 2:ATTN MEDICAL STAFF
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-1104
Mailing Address - Country:US
Mailing Address - Phone:661-846-4641
Mailing Address - Fax:661-846-4525
Practice Address - Street 1:1040 7TH ST
Practice Address - Street 2:
Practice Address - City:WASCO
Practice Address - State:CA
Practice Address - Zip Code:93280-1934
Practice Address - Country:US
Practice Address - Phone:661-758-7865
Practice Address - Fax:661-758-3318
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP15269363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZT11802FMedicaid
CAZZZ86274ZMedicare ID - Type Unspecified
CAZZT11802FMedicaid