Individual provider · Type 1 NPI
Elena Khavshaba
Family Nurse Practitioner · Montrose, CA
NPI number
1487364808
Active
Practice location
2621 Honolulu Ave
Montrose, CA 91020-1706
Mailing address
1234 Richard Pl
Glendale, CA 91206-3463
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F11220384 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1487364808
Elena Khavshaba's National Provider Identifier is 1487364808, issued on Nov 28, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Montrose, CA. The record was last updated on Apr 28, 2023.