Individual provider · Type 1 NPI

Taryn Enise Fairbanks-Pass

Licensed Practical Nurse · Los Angeles, CA

NPI number 1902701865 Active

Practice location

7610 Beverly Blvd
Los Angeles, CA 90048-6557

Call (323) 854-3901 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X251169 (CA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1902701865

Taryn Enise Fairbanks-Pass's National Provider Identifier is 1902701865, issued on Oct 12, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 12, 2026.