Healthcare Provider Details

I. General information

NPI: 1477318442
Provider Name (Legal Business Name): PATRICIA JOSEPH AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/19/2024
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 S BUENA VISTA ST FL 4
BURBANK CA
91505-4504
US

IV. Provider business mailing address

8540 S SEPULVEDA BLVD STE 900
WESTCHESTER CA
90045-3808
US

V. Phone/Fax

Practice location:
  • Phone: 818-840-0921
  • Fax: 818-840-7064
Mailing address:
  • Phone: 848-466-7019
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number95021295
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: