Individual provider · Type 1 NPI

Moonlight Alan

Family Nurse Practitioner · Burbank, CA

NPI number 1245937036 Active

Practice location

3808 W Riverside Dr Ste 407
Burbank, CA 91505-5301

Call (213) 218-9245 Map

Mailing address

945 N Serrano Ave Apt 113
Los Angeles, CA 90029-3274

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95023700 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1245937036

Moonlight Alan's National Provider Identifier is 1245937036, issued on Feb 13, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Burbank, CA. The record was last updated on Feb 13, 2023.