Individual
DR. HANNAH SASSON GRUSHKOWSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3180 WILLOW LN # 206, THOUSAND OAKS, CA 91361-4941
(601) 376-9663
Mailing address
5922 CORBIN AVE, TARZANA, CA 91356-1007
(818) 448-1840
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95009744
CA
363LF0000X
Family Nurse Practitioner
95009744
CA
363LG0600X
Gerontology Nurse Practitioner
95009744
CA
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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