Individual
ANDRE NAZARIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
7515 VAN NUYS BLVD, VAN NUYS, CA 91405-1949
(818) 627-3000
Mailing address
3813 SKY VIEW LN, GLENDALE, CA 91214-1006
(818) 439-4232
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
95088454
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95088454
REGISTERED NURSE
CA
Enumeration date
12/15/2022
Last updated
12/15/2022
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