Individual
MRS. GAYANE MKRTCHYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1509 WILSON TER, GLENDALE, CA 91206-4007
(818) 409-8000
Mailing address
1018 VIRGINIA PL UNIT 2, GLENDALE, CA 91204-2266
(818) 731-4633
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95015795
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
95015795
CA
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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