Individual provider · Type 1 NPI

Shake Ovasapyan, NP

Nurse Practitioner · Glendale, CA

NPI number 1477786945 Active

Practice location

1812 Verdugo Blvd
Glendale, CA 91208-1407

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNP19258 (CA)
Registered Nurse 163W00000X713948 (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 1477786945

Shake Ovasapyan, NP's National Provider Identifier is 1477786945, issued on Aug 31, 2009. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Glendale, CA. The record was last updated on May 6, 2022.