Provider Demographics
NPI:1871594267
Name:LOVEJOY, ALAN SCOTT (CRNA, MSN)
Entity type:Individual
Prefix:MR
First Name:ALAN
Middle Name:SCOTT
Last Name:LOVEJOY
Suffix:
Gender:M
Credentials:CRNA, MSN
Other - Prefix:MR
Other - First Name:ALAN
Other - Middle Name:SCOTT
Other - Last Name:LOVEJOY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNA, MSN
Mailing Address - Street 1:2635 G ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-2813
Mailing Address - Country:US
Mailing Address - Phone:661-633-1500
Mailing Address - Fax:661-633-2700
Practice Address - Street 1:450 GREENFIELD AVE
Practice Address - Street 2:
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-3513
Practice Address - Country:US
Practice Address - Phone:661-633-1500
Practice Address - Fax:661-633-2700
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00151612163W00000X
WAAP30006631367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse