Individual provider · Type 1 NPI

Johanna Bazan

Family Nurse Practitioner · Glendale, CA

NPI number 1851135941 Active

Practice location

1509 Wilson Ter
Glendale, CA 91206-4007

Other practice locations

  • 5059 York Blvd, Los Angeles, CA 90042-1713 · (818) 434-4847

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95202408 (CA)

Family Nurse Practitioner: Definition to come...

210 other providers at this address

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About NPI 1851135941

Johanna Bazan's National Provider Identifier is 1851135941, issued on Jun 24, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Glendale, CA. The record was last updated on Sep 11, 2026.