Individual
BEVERLY CARBONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18546 ROSCOE BLVD, NORTHRIDGE, CA 91324-4663
(818) 885-8355
Mailing address
11257 N ADOBE LN, MISSION HILLS, CA 91345-1420
(805) 304-7332
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95026158
CA
Other
Enumeration date
01/02/2024
Last updated
01/22/2024
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