Healthcare Provider Details

I. General information

NPI: 1245160951
Provider Name (Legal Business Name): KNWN HEALTH NURSING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 W ALAMEDA AVE STE 1500
BURBANK CA
91505-4387
US

IV. Provider business mailing address

3900 W ALAMEDA AVE STE 1500 PMB 17147069
BURBANK CA
91505-4387
US

V. Phone/Fax

Practice location:
  • Phone: 310-853-2839
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SHELBY WAKEMAN
Title or Position: CEO
Credential: NP
Phone: 818-288-0607