Individual
MISS HANNA D TAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1223 16TH ST STE 3400, SANTA MONICA, CA 90404-1279
(310) 206-0367
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP95017801
CA
363LA2100X
Acute Care Nurse Practitioner
95017801
CA
Other
Enumeration date
02/18/2022
Last updated
09/12/2024
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