Individual
CINDY HASLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2208 W 7TH ST, LOS ANGELES, CA 90057-4002
(213) 384-3434
Mailing address
3657 E 4TH ST, LOS ANGELES, CA 90063-3916
(323) 453-7272
Taxonomy
Speciality
Code
Description
License number
State
163WG0100X
Gastroenterology Registered Nurse
95063355
CA
363LF0000X
Family Nurse Practitioner
Primary
95019857
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95019857
NURSE PRACTITIONER
CA
Enumeration date
07/27/2017
Last updated
05/19/2022
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