Provider Demographics
NPI:1033467261
Name:SUBRIAR, ANNIKA LYNN (LVN)
Entity type:Individual
Prefix:
First Name:ANNIKA
Middle Name:LYNN
Last Name:SUBRIAR
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9815 AIM AVE
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93307-6205
Mailing Address - Country:US
Mailing Address - Phone:661-900-0528
Mailing Address - Fax:
Practice Address - Street 1:9815 AIM AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93307-6205
Practice Address - Country:US
Practice Address - Phone:661-900-0528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-20
Last Update Date:2012-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN261250164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse