Individual
EMILY JANE CARVAJAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1509 WILSON TER, GLENDALE, CA 91206-4007
(818) 319-5330
Mailing address
8976 YEW ST, RANCHO CUCAMONGA, CA 91730-1253
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
9522851
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
95036672
CA
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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