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Individual

ELIZABETH MAIRLA LANDAVERDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
17075 DEVONSHIRE ST STE 201, NORTHRIDGE, CA 91325-5407
(818) 923-5453
Mailing address
PO BOX 565, WOODLAND HILLS, CA 91365-0565

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95036232
CA

Other

Enumeration date
07/24/2025
Last updated
08/02/2025
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