Individual
AIMEE KVANDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
77 ROLLING OAKS DR, THOUSAND OAKS, CA 91361-1011
(805) 719-3700
Mailing address
5237 LYNNWOOD DR, CAMARILLO, CA 93012-4137
(443) 440-0429
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
843087
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
843087
RN LICENSE
CA
01
—
F01211052
FNP CERTIFICATE
CA
Enumeration date
02/12/2021
Last updated
02/12/2021
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