Individual
MRS. NISHA THAMBAN GREENLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8700 BEVERLY BLVD, LOS ANGELES, CA 90048
(818) 281-5478
Mailing address
8700 BEVERLY BLVD, LOS ANGELES, CA 90048
(818) 281-5478
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
23726
CA
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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