Provider Demographics
NPI:1386435022
Name:CHURCHWELL, AURORA LEA (RN)
Entity type:Individual
Prefix:
First Name:AURORA
Middle Name:LEA
Last Name:CHURCHWELL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3114 NIMES LN
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-5329
Mailing Address - Country:US
Mailing Address - Phone:618-402-9783
Mailing Address - Fax:
Practice Address - Street 1:3114 NIMES LN
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-5329
Practice Address - Country:US
Practice Address - Phone:618-402-9783
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95256693163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse