Individual
NANCY KAVIANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
69175 RAMON RD BLDG A, CATHEDRAL CITY, CA 92234-3344
(760) 321-6776
(760) 321-4036
Mailing address
PO BOX 2369, BORREGO SPRINGS, CA 92004-2369
(760) 767-5051
(760) 767-4552
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
NP7747
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KAV104305075
NCC ID
CA
01
—
RN353978
RN LICENSE
CA
Enumeration date
02/06/2007
Last updated
07/08/2007
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