Individual
SHOSHANA PANITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
17875 VON KARMAN AVE STE 150, IRVINE, CA 92614-6212
(617) 334-5441
Mailing address
12512 CHANDLER BLVD APT 118, VALLEY VILLAGE, CA 91607-1971
(323) 979-6694
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95012859
CA
363LG0600X
Gerontology Nurse Practitioner
95012859
CA
Other
Enumeration date
03/19/2020
Last updated
08/15/2024
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