Individual provider · Type 1 NPI

Raizza Queen Baniqued Acode, FNP-BC, NP-C

Nurse Practitioner · North Hollywood, CA

NPI number 1245052018 Active

Practice location

11633 Victory Blvd Ste 100
North Hollywood, CA 91606-3513

Fax (833) 471-5322

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	95032745 (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 1245052018

Raizza Queen Baniqued Acode, FNP-BC, NP-C's National Provider Identifier is 1245052018, issued on Oct 31, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in North Hollywood, CA. The record was last updated on Jul 29, 2026.