Provider Demographics
NPI:1821742230
Name:ALAWADHI, RAZAN AAMA (MBA, MSN, FNP-BC)
Entity type:Individual
Prefix:
First Name:RAZAN
Middle Name:AAMA
Last Name:ALAWADHI
Suffix:
Gender:F
Credentials:MBA, MSN, FNP-BC
Other - Prefix:
Other - First Name:N/A
Other - Middle Name:
Other - Last Name:N/A
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ABDULLRAZAQ ALAWADHI
Mailing Address - Street 1:6255 W SUNSET BLVD FL 21
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90028-7422
Mailing Address - Country:US
Mailing Address - Phone:238-605-2003
Mailing Address - Fax:323-467-7119
Practice Address - Street 1:11001 MAIN ST STE 311
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91731-2620
Practice Address - Country:US
Practice Address - Phone:626-444-9453
Practice Address - Fax:626-444-9256
Is Sole Proprietor?:No
Enumeration Date:2022-02-05
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY348997363LF0000X
CANP95031697363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily