Individual
KYLIE BROOKE EBNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4400 COLDWATER CANYON AVE STE 127, STUDIO CITY, CA 91604-5038
(805) 657-2446
Mailing address
14520 MAGNOLIA BLVD APT 108, SHERMAN OAKS, CA 91403-1491
(805) 657-2446
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
95148869
CA
163WI0500X
Infusion Therapy Registered Nurse
Primary
95148869
CA
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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