Individual provider · Type 1 NPI
Diana I. Iazichyan
Family Nurse Practitioner · Granada Hills, CA
NPI number
1508460833
Active
Practice location
17117 Tribune St
Granada Hills, CA 91344-4938
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 95016074 (CA) |
| Family Nurse Practitioner Primary | 363LF0000X | 95016074 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1508460833
Diana I. Iazichyan's National Provider Identifier is 1508460833, issued on Nov 27, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Granada Hills, CA. The record was last updated on Nov 29, 2020.