Individual provider · Type 1 NPI
Andrea Tizano, PNP
Pediatric Nurse Practitioner · Los Angeles, CA
NPI number
1255871554
Active
Practice location
4650 W Sunset Blvd
Los Angeles, CA 90027-6062
Mailing address
3701 Wilshire Blvd, 600
Los Angeles, CA 90010-2804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 834355 (CA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1255871554
Andrea Tizano, PNP's National Provider Identifier is 1255871554, issued on Mar 6, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 26, 2017.