Provider Demographics
NPI:1952124661
Name:WAROLIN, ASUSENA (FNP-C)
Entity type:Individual
Prefix:
First Name:ASUSENA
Middle Name:
Last Name:WAROLIN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12719 MARSDEN ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-9562
Mailing Address - Country:US
Mailing Address - Phone:559-284-9102
Mailing Address - Fax:
Practice Address - Street 1:11901 BOLTHOUSE DR STE 300
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-8456
Practice Address - Country:US
Practice Address - Phone:661-393-2331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-02
Last Update Date:2024-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95032312363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily