Individual
ANNE SHALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8550 SANTA MONICA BLVD, 2ND FL, LOS ANGELES, CA 90069
(917) 680-7563
Mailing address
8550 SANTA MONICA BLVD, 2ND FL, LOS ANGELES, CA 90069
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95013021
CA
363LA2200X
Adult Health Nurse Practitioner
95013021
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
95013021
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95013021
NP LICENSE
CA
Enumeration date
10/24/2019
Last updated
10/24/2019
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