Organization · Type 2 NPI

Minuteclinic Diagnostic Medical Group of California Inc

Family Nurse Practitioner · Burbank, CA

NPI number 1033309372 Active

Practice location

511 N Hollywood Way
Burbank, CA 91505-3406

Fax (401) 406-3539

Mailing address

PO Box 772, Payor Enrollment-Mc 2295
Woonsocket, RI 02895-0784

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Clinical Social Worker 1041C0700XNone listed
Marriage & Family Therapist 106H00000XNone listed
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

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About NPI 1033309372

Minuteclinic Diagnostic Medical Group of California Inc's National Provider Identifier is 1033309372, issued on Aug 1, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Burbank, CA. The record was last updated on Oct 11, 2024.