Organization · Type 2 NPI

Sphere Wound Specialists Inc

Nurse Practitioner · Burbank, CA

NPI number 1104702224 Active

Practice location

1030 N Avon St
Burbank, CA 91505-2517

Specialties and licenses

TaxonomyCodeLicense
Wound Care Registered Nurse 163WW0000XNone listed
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1104702224

Sphere Wound Specialists Inc's National Provider Identifier is 1104702224, issued on Aug 13, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Burbank, CA. The record was last updated on Oct 3, 2025.