Individual provider · Type 1 NPI
Fernand Bamba Taruc
Gerontology Nurse Practitioner · Glendale, CA
NPI number
1457557779
Active
Practice location
3857 Foothill Blvd Ste 15C
Glendale, CA 91214-1658
Mailing address
11014 Eldora Ave
Sunland, CA 91040-2005
Other practice locations
- 110 W Fir St Ste 4, Brea, CA 92821-6407 · (818) 319-0224
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 95012147 (CA) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 95012147 (CA) |
Gerontology Nurse Practitioner: Definition to come...
Other gerontology nurse practitioner providers in Glendale
About NPI 1457557779
Fernand Bamba Taruc's National Provider Identifier is 1457557779, issued on Jun 24, 2007. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Glendale, CA. The record was last updated on Apr 29, 2025.