1952487910 NPI number — MRS. MARSHA ANNE KAPRIELIAN FNP-C

Table of content: MRS. MARSHA ANNE KAPRIELIAN FNP-C (NPI 1952487910)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952487910 NPI number — MRS. MARSHA ANNE KAPRIELIAN FNP-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KAPRIELIAN
Provider First Name:
MARSHA
Provider Middle Name:
ANNE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
FNP-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952487910
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8329 BRIMHALL RD
Provider Second Line Business Mailing Address:
SUITE 801
Provider Business Mailing Address City Name:
BAKERSFIELD
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93312-2243
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
661-695-8385
Provider Business Mailing Address Fax Number:
661-679-6801

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8329 BRIMHALL RD
Provider Second Line Business Practice Location Address:
SUITE 801
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93312-2243
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-695-8385
Provider Business Practice Location Address Fax Number:
661-679-6801
Provider Enumeration Date:
10/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  NPF10048 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: CB206701 . This is a "MEDICARE PTAN SO CAL" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: GU585A . This is a "MEDICARE PTAN NO CA" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: NP10048 . This is a "FURNISHING LICENSE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: RN398156 . This is a "CALIFORNIA LICENSE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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