Provider Demographics
NPI:1881168714
Name:AWAMLEH, CLAUDIA (FNP)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:AWAMLEH
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 1:4309 STAGECOACH RD
Mailing Address - Street 2:
Mailing Address - City:DUNSMUIR
Mailing Address - State:CA
Mailing Address - Zip Code:96025-1812
Mailing Address - Country:US
Mailing Address - Phone:530-235-4138
Mailing Address - Fax:530-678-2453
Practice Address - Street 1:5 LOWER RAGSDALE DR STE 100
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-5817
Practice Address - Country:US
Practice Address - Phone:831-624-7070
Practice Address - Fax:831-624-3612
Is Sole Proprietor?:No
Enumeration Date:2019-01-14
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95010847363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1881168714Medicaid