Individual
COURTNEY DANE CARMICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2001 SANTA MONICA BLVD, SUITE 1170 W, SANTA MONICA, CA 90404-2102
(310) 828-8399
(310) 828-8331
Mailing address
16335 COMMUNITY ST, NORTH HILLS, CA 91343-6211
(818) 282-6163
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
16704
CA
Other
Enumeration date
10/19/2006
Last updated
12/29/2009
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