IndividualActive
Alicia Perez Varela, AGPCNP
NPI 1104788553 · Gerontology Nurse Practitioner · Fullerton, CA
Provider details
- NPI number
- 1104788553
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGPCNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2025041449 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
101 E Valencia Mesa Dr
Fullerton, CA 92835-3809
Phone: (714) 992-3000
Approximate (ZIP-level) locationGet directions
Mailing address
101 E Valencia Mesa Dr
Fullerton, CA 92835-3809
Registry dates
- Enumerated
- 2025-11-24
- Last updated
- 2025-12-16
- Certified
- 2025-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.