Individual
EMILY L ALEXIADIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
18370 BURBANK BLVD STE 414, TARZANA, CA 91356-2843
(818) 506-3384
(818) 774-2298
Mailing address
24210 AMARYLLIS CT, VALENCIA, CA 91354-1210
(661) 702-0709
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
641934
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
95007351
CA
364S00000X
Clinical Nurse Specialist
4628
CA
Other
Enumeration date
03/05/2018
Last updated
03/05/2018
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