Provider Demographics
NPI:1952706129
Name:ALVARNAS, BERNADETTE MARIE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:BERNADETTE
Middle Name:MARIE
Last Name:ALVARNAS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:BERNADETTE
Other - Middle Name:MARIE
Other - Last Name:RAMIREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1171 N LOPEZ LN
Mailing Address - Street 2:
Mailing Address - City:AZUSA
Mailing Address - State:CA
Mailing Address - Zip Code:91702-6295
Mailing Address - Country:US
Mailing Address - Phone:626-327-7632
Mailing Address - Fax:626-804-3167
Practice Address - Street 1:1401 S BALDWIN AVE
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-7922
Practice Address - Country:US
Practice Address - Phone:626-445-1284
Practice Address - Fax:626-445-1284
Is Sole Proprietor?:No
Enumeration Date:2014-10-29
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95000681363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily