Individual
AILEEN AMBARTSUMYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
519 E BROADWAY, GLENDALE, CA 91205-1110
(818) 409-3020
Mailing address
1401 VALLEY VIEW RD APT 109, GLENDALE, CA 91202-4408
(818) 275-7755
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95169219
CA
363LF0000X
Family Nurse Practitioner
Primary
95027985
CA
Other
Enumeration date
07/19/2023
Last updated
11/12/2024
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