Individual provider · Type 1 NPI
Carly Rose Devirian
Pediatric Nurse Practitioner · Los Angeles, CA
NPI number
1083248942
Active
Practice location
808 W 58th St
Los Angeles, CA 90037-3632
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 95013513 (CA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1083248942
Carly Rose Devirian's National Provider Identifier is 1083248942, issued on Feb 28, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 10, 2020.