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NPI Code Detail

MEDICARE: KRISTINE DANA HAYRAP NP

MEDICARE:   KRISTINE DANA HAYRAP  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner95088634CA

General Provider Information

NPI Number : 1598598278
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINE DANA HAYRAP NP
Provider Business Mailing Address
First Line : 635 N MARENGO AVE
Second Line :
City : PASADENA
State : CA
Zip : 91101-1011
Country : US
Telephone Number : 818-903-8244
Fax Number : 626-243-2600
Provider Business Practice Location Address
First Line : 320 N CENTRAL AVE STE 100
Second Line :
City : GLENDALE
State : CA
Zip : 91203-2961
Country : US
Telephone Number : 818-903-8244
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2024
Last Update Date : 06/01/2026

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Directions to “ KRISTINE DANA HAYRAP NP” Practice Location

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