Provider Demographics
NPI:1538864061
Name:NARTE, GERALINE (NP)
Entity type:Individual
Prefix:
First Name:GERALINE
Middle Name:
Last Name:NARTE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:GERALINE
Other - Middle Name:
Other - Last Name:AREVALO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2248 N DEREK DR
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92831-1412
Mailing Address - Country:US
Mailing Address - Phone:702-513-9580
Mailing Address - Fax:
Practice Address - Street 1:2248 N DEREK DR
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92831-1412
Practice Address - Country:US
Practice Address - Phone:702-513-9580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAF1231411363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily