Individual
MARLI FRANCES TAICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
4650 W SUNSET BLVD # 82, LOS ANGELES, CA 90027-6062
(323) 361-2471
Mailing address
4650 W SUNSET BLVD # 82, LOS ANGELES, CA 90027-6062
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1647073
CO
163W00000X
Registered Nurse
7014741
NY
163W00000X
Registered Nurse
95110404
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
0993072-NP
CO
363LP0200X
Pediatric Nurse Practitioner
95013896
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95013896
—
CA
05
—
95110404
—
CA
Enumeration date
06/22/2016
Last updated
02/18/2023
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