Individual provider · Type 1 NPI

Chetna Gangwal, NP

Nurse Practitioner · Burbank, CA

NPI number 1174646145 Active

Practice location

2601 W Alameda Ave, Suite 111
Burbank, CA 91505-4800

Fax (818) 295-6965

Mailing address

777 Flower St, Suite A
Glendale, CA 91201-3015

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNP 16835 (CA)

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 1174646145

Chetna Gangwal, NP's National Provider Identifier is 1174646145, issued on Apr 6, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Burbank, CA. The record was last updated on Jul 8, 2007.