is a Nurse Practitioner in Sylmar, California. practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for is 1558411462. The last update date is .
's current location address is 14445 Olive View Dr, Sylmar, California. You can contact this provider via phone number 8183643205 and fax number 8183644573. The mailing address for is 14445 Olive View Dr, Sylmar, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 14445 Olive View Dr, Sylmar, California |
| Phone Number | 8183643205 |
| Fax Number | 8183644573 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1558411462 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 14445 Olive View Dr |
|---|---|
| City | Sylmar |
| State | California (CA) |
| Post Code | 913421437 |
| Phone Number | 8183643205 |
| Fax Number | 8183644573 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 535681 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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