Individual provider · Type 1 NPI
Archana Farouque Mazra, NP
Gerontology Nurse Practitioner · Tarzana, CA
NPI number
1962204685
Active
Practice location
5411 Etiwanda Ave Ste 100
Tarzana, CA 91356-6159
Mailing address
16550 Knollwood Dr
Granada Hills, CA 91344-1843
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 95034482 (CA) |
Gerontology Nurse Practitioner: Definition to come...
4 other providers at this address
About NPI 1962204685
Archana Farouque Mazra, NP's National Provider Identifier is 1962204685, issued on Mar 25, 2025. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Tarzana, CA. The record was last updated on Mar 25, 2025.