Individual
ELIZABETH IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
12954 HAWTHORNE BLVD, STE. 104, HAWTHORNE, CA 90250-4418
(310) 679-0269
Mailing address
20600 VENTURA BLVD, UNIT 1210, WOODLAND HILLS, CA 91364-6662
(832) 818-0138
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95005698
CA
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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