Individual provider · Type 1 NPI
Tina Ghazarian
Gerontology Nurse Practitioner · La Crescenta, CA
NPI number
1124565130
Active
Practice location
3945 Mayfield Ave
La Crescenta, CA 91214
Other practice locations
- 1500 E. Duarte Road, Duarte, CA 91010 · (626) 256-4673
- 1500 E. Duarte Road, Duarte, CA 91010 · (626) 256-4673
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 95005429 (CA) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 95005429 (CA) |
Gerontology Nurse Practitioner: Definition to come...
Other gerontology nurse practitioner providers in La Crescenta
About NPI 1124565130
Tina Ghazarian's National Provider Identifier is 1124565130, issued on Jan 28, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in La Crescenta, CA. The record was last updated on Jan 15, 2019.