Individual provider · Type 1 NPI
Christie Noelani Huddy
Primary Care Nurse Practitioner · Tarzana, CA
NPI number
1992455976
Active · reactivated Aug 16, 2023
Practice location
18740 Ventura Blvd Ste 102
Tarzana, CA 91356-6353
Mailing address
1410 Paseo Gracia
San Dimas, CA 91773-3915
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 95019818 (CA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1992455976
Christie Noelani Huddy's National Provider Identifier is 1992455976, issued on Mar 24, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Tarzana, CA. The record was last updated on Aug 22, 2023.