Individual provider · NPI-1
Vivian Teresa Alcaraz Cervantes, Nurse Practitioner
Nurse Practitioner, Women's Health · Bakersfield, CA
NPI number1780460832
StatusActive
Last updated in NPPESSep 5, 2023
Details
- NPI
- 1780460832
- Entity type
- Individual (NPI-1)
- Name
- Vivian Teresa Alcaraz Cervantes
- Credential
- Nurse Practitioner
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 5, 2023
- Certification date
- Sep 5, 2023
- Last updated
- Sep 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LW0102X | Nurse Practitioner, Women's Health | 95026711 | CA | Yes |
Practice location
9610 Stockdale HwyBakersfield, CA 93311-3625
Phone 661-664-0314
Mailing address
9704 Hyannis Port DrBakersfield, CA 93314-8073
Phone 661-586-6587
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