Healthcare Provider Details

I. General information

NPI: 1376419341
Provider Name (Legal Business Name): VIOLETTA ZHELEZNOVA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/15/2025
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 W ALAMEDA AVE STE 208
BURBANK CA
91505-4338
US

IV. Provider business mailing address

41712 CRISPI LN
QUARTZ HILL CA
93536-3149
US

V. Phone/Fax

Practice location:
  • Phone: 818-669-4667
  • Fax:
Mailing address:
  • Phone: 818-669-4667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95037375
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: