Irina Bazavan is a Gerontology in Novato, California. Irina Bazavan practices all healthcare services and medical treatments related to Gerontology. The NPI Number for Irina Bazavan is 1932129707. The last update date is 2023-03-07.
Irina Bazavan's current location address is 750 Grant Ave, Novato, California. You can contact this provider via phone number 4158999800 and fax number 4158999805. The mailing address for Irina Bazavan is 750 Grant Ave, Novato, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Irina Bazavan |
|---|---|
| Address | 750 Grant Ave, Novato, California |
| Phone Number | 4158999800 |
| Fax Number | 4158999805 |
| Sole Proprietor | Y |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1932129707 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 750 Grant Ave |
|---|---|
| City | Novato |
| State | California (CA) |
| Post Code | 949457001 |
| Phone Number | 4158999800 |
| Fax Number | 4158999805 |
Provider's Primary Taxonomy Detail
| Speciality | Gerontology |
|---|---|
| Taxonomy | 363Lg0600X |
| Licence No | 8749 |
|
Definition: An advanced practice registered nurse expert in providing care to older adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8749 | CA | NP LICENCE | |
| RN3855290 | CA | -- | |
| 385529 | CA | RN LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Irina Bazavan by the Centers for Medicare & Medicaid Services?
The Irina Bazavan has been issued the NPI (National Provider Identifier) 1932129707. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Irina Bazavan is located?
The Irina Bazavan is situated at the following address: 750 Grant Ave, Novato, CA, 949457001.
What is the area of specialization for Irina Bazavan, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Irina Bazavan is Gerontology, and the corresponding taxonomy code that categorizes this area of expertise is 363Lg0600X.
On what date did the Centers for Medicare & Medicaid Services assign the 1932129707 to Irina Bazavan?
The Centers for Medicare & Medicaid Services assigned the 1932129707 to Irina Bazavan on 2006-07-21.
When was the information regarding Irina Bazavan most recently updated?
The details pertaining to the Irina Bazavan, including its address, specialty, and other relevant information, were last refreshed on 2023-03-07.