Individual
MRS. CLAUDETTE NICOLAS WASIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1125 N BEACHWOOD DR, BURBANK, CA 91506-1340
(818) 720-8882
Mailing address
1125 N BEACHWOOD DR, BURBANK, CA 91506-1340
(818) 720-8882
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17466
CA
Other
Enumeration date
05/08/2009
Last updated
05/08/2009
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