Individual provider · Type 1 NPI

Kenyatta Irvin, NP

Nurse Practitioner · Granada Hills, CA

NPI number 1689325425 Active

Practice location

PO Box 3503
Granada Hills, CA 91394-0503

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95018472 (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 1689325425

Kenyatta Irvin, NP's National Provider Identifier is 1689325425, issued on Jan 13, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Granada Hills, CA. The record was last updated on Mar 20, 2025.