Provider Demographics
NPI:1730394990
Name:SARWACINSKI, BELEN MAYELA (APRN,BC)
Entity type:Individual
Prefix:
First Name:BELEN
Middle Name:MAYELA
Last Name:SARWACINSKI
Suffix:
Gender:F
Credentials:APRN,BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13176 CALLE DE LOS NINOS
Mailing Address - Street 2:1415 RIDGEBACK ROAD #4
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-0000
Mailing Address - Country:US
Mailing Address - Phone:619-461-4257
Mailing Address - Fax:619-421-6913
Practice Address - Street 1:13176 CALLE DE LOS NINOS
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92129-2919
Practice Address - Country:US
Practice Address - Phone:619-421-4257
Practice Address - Fax:619-421-6913
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11952363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner