Individual
DIANNE BRIGETTE NOVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5525 ETIWANDA AVE STE 211, TARZANA, CA 91356-6136
(818) 757-1212
(818) 757-1311
Mailing address
2208 MARSHALLFIELD LN UNIT A, REDONDO BEACH, CA 90278-5016
(661) 487-9113
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95008038
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95008038
NURSE PRACTITIONER FURNISHING NUMBER
CA
Enumeration date
12/07/2017
Last updated
11/15/2021
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